Article Text

Download PDFPDF
Case report
Iatrogenic pneumothorax in a 4-week-old girl: new diagnosis of congenital lobar emphysema
  1. Ashley Reed1,
  2. Sandra Fernandes Lucas2,
  3. Agnieszka Nowacka2 and
  4. Chukwubuike Eze2
  1. 1Emergency Department, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex, UK
  2. 2Paediatric Department, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex, UK
  1. Correspondence to Mr Ashley Reed; Ashleyreed27{at}hotmail.com

Abstract

A 4-week-old female patient presented with severe respiratory distress, hypoxia and apnoeic episodes on a background of a few-day history of coryza and cough. There was significantly reduced air entry on the left side and a displacement of the apex beat to the right of the chest. The examination findings with oxygen desaturations and a right-sided mediastinal shift on chest X-ray led to a diagnosis of tension pneumothorax following which a needle thoracentesis was undertaken. This appeared to worsen the patient’s clinical condition; hence, a chest drain was inserted with unsatisfactory clinical improvement. In view of the presentation and lack of clinical improvement after chest drain insertion, the case was transferred to the paediatric respiratory team in a tertiary centre where the diagnosis was revised to congenital lobar emphysema based on chest computer tomography findings. She subsequently benefited from a left upper lobectomy and lingulectomy and was discharged home 4 days after surgery.

  • congenital disorders
  • pulmonary emphysema
  • paediatric surgery
  • resuscitation
View Full Text

Statistics from Altmetric.com

Footnotes

  • Twitter @Ashleydalereed

  • Contributors AR: contributed to the initial acute care of the patient, designed the manuscript and the revisions. SFL: designed the manuscript and the revisions. AN: contributed to care on the ward and contributed towards the manuscript and revisions. CE: contributed towards the initial acute care of the patient and contributed towards the manuscript revisions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.