Variability of Presentation and Surgical Approach in Congenital Cystic Lesions of Lung: a Retrospective Study in Children Presenting in Mayo Hospital. | [Journal of Pakistan Medical Association • 2019]

Author(s):

1. Fatima Naumeri: Department of Plastic surgery, King Edward medical university,Lahore, Pakistan

2. Azka Naeem: Department of Plastic surgery, King Edward medical university,Lahore, Pakistan

3. Muhammad Sehran Khalid: Department of Plastic surgery, King Edward medical university,Lahore, Pakistan

4. Muhammad Sohail: Department of Plastic surgery, King Edward medical university,Lahore, Pakistan

Abstract:

The objective was to study the clinical presentation and surgical outcome in children with congenital cystic lesions of the lung. The medical records of 11 patients operated in the department of paediatric surgery, from January 2014 to December 2017, were evaluated retrospectively. Median age was 18 months (1-108). Respiratory distress was seen in 5 (45.4%) patients, recurrent chest infections in 4 (36.4%) patients and only 2 (18.2%) presented after birth. One patient of congenital lobar emphysema was misdiagnosed as pneumothorax and four patients of recurrent chest infection had been misdiagnosed as pulmonary tuberculosis. All patients underwent lateral thoracotomy. There was no mortality, median length of hospital stay was 4 days (4-5) and only one patient needed postoperative ventilation. On follow up, 10 (90.9%) patients had attained normal level of physical activities. We conclude that increasing awareness of these lesions can prevent misdiagnosis and unnecessary tube thoracostomy and anti tubercular therapy in children.

Page(s): 1035-1038

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 69, Issue: 7, Year: 2019

Keywords:

Bronchopulmonar y sequestration , Congenital cystic lesions of lung

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