Congenital lobar emphysema presenting as an airway foreign body. Issue 12 (December 2015)

• Record Type: Journal Article
• Authors: Gorostidi, François; de Buys Roessingh, Anthony; Gonzalez, Michel; Simon, Christian; Monnier, Yan
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 79:Issue 12(2015:Dec.)
• Page Start: 2450
• Page End: 2452
• Publication Date: 2015-12
• Subjects: BP blood pressure -- CLE congenital lobar emphysema -- CRP C-reactive protein -- FB foreign body -- HR heat rate -- RR respiratory rate; Airway -- Foreign body -- Pediatric -- Congenital lobar emphysema; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2015.09.042
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: We report here the case of a 15 months old girl presenting with clinical signs and radiological exams highly suggestive of a foreign body (FB) aspiration. Diagnostic endoscopy revealed an overlooked bronchial malformation responsible for a congenital lobar emphysema (CLE). CLE presenting after one year of age is rare and can easily be misdiagnosed. Therefore, the possibility of an overlooked CLE needs to be known and evoked as an alternative diagnosis when dealing with children presenting with suspected FB aspirations. We report on this unexpected, yet misleading presentation of CLE and review the available literature on the subject.