Congenital cystic lesions of the lungs: The perils of misdiagnosis - A single-center experience
| Autor: | Arun Gupta, V Shankar Raman, Shasanka Shekhar Panda, Veereshwar Bhatnagar, Sandeep Agarwala |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
lcsh:RC705-779 medicine.medical_specialty Lung Referral business.industry Bronchopleural fistula intercostal drainage Congenital lobar emphysema lcsh:Diseases of the respiratory system medicine.disease Single Center Antenatal diagnosis Surgery Pulmonary sequestration antitubercular drugs medicine.anatomical_structure Pneumothorax medicine Original Article congenial cystic lung lesions Presentation (obstetrics) business |
| Zdroj: | Lung India, Vol 32, Iss 2, Pp 116-118 (2015) Lung India : Official Organ of Indian Chest Society |
| ISSN: | 0970-2113 |
| Popis: | Background: A majority of cystic lesions in the western world are detected antenatally, whereas, the diagnosis in our setup occurs once the child becomes symptomatic. Surgical management is primarily dictated by the presence of symptoms, recurrent infection, and rarely by the potential risk of malignant transformation. Materials and Methods: A retrospective analysis was carried out on all consecutive patients with cystic lung lesions managed at our center from January 2000 through June 2011 for antenatal diagnosis, presentation, diagnostic modalities, treatment, and complications. Results: Forty cystic lung lesions were identified. Only 8% were antenatally detected. Out of 40, the final diagnosis was congenital cystic adenomatoid malformation in 19, congenital lobar emphysema in 11, and bronchogenic cysts and pulmonary sequestration in five each. Of these, 20% had received a course of prior antitubercular therapy and 30% had an intercostal drain inserted prior to referral to our center. Postoperative morbidity in the form of bronchopleural fistula, pneumothorax, and non-expansion of the residual lung was noted in 10% of the patients. Conclusion: Antenatal diagnosis of these lesions is still uncommon in third world countries. Prior to referral to a pediatric surgical center a large number of patients received antitubercular drugs and an intercostal drain insertion, due to incorrect diagnosis. |
| Databáze: | OpenAIRE |
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