This paper is only available as a PDF. To read, Please Download here.
- 1.1. An emphysematous lobe seen on x-ray, and no obvious obstructing mechanisms are necessary criteria for the diagnosis of congenital hypertrophic lobar emphysema in infants with respiratory distress and occasionally with cyanosis.
- 2.2. Thirty-four cases purporting to represent this condition under a variety of names have been reviewed. In 19 of these cases, no etiologic mechanism could be found, and these may be classified as congenital hypertrophic lobar emphysema. The remaining 15 cases should be designated congenital obstructive lobar emphysema since some obstructive phenomenon was identified. Future studies may determine whether or not this is a valid separation.
- 3.3. All cases involved upper or middle lobes.
- 4.4. Five cases which meet the criteria for the diagnosis of congenital hypertrophic lobar emphysema are added to the literature. Case histories are appended, and criteria for the diagnosis, both clinical and radiological, are discussed.
- 5.5. A plea is made for increased awareness of this entity since prompt surgical intervention may be lifesaving.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- On the natural regression of pulmonary cysts during early infancy.Pediatrics. 1953; 11: 48
- Congenital obstructive emphysema treated by lobectomy.Am. J. Dis. Child. 1954; 88: 775
- Progressive infantile emphysema—a surgical emergency.Surgery. 1953; 34: 412
- Lobar emphysema.J. A. M. A. 1958; 166: 340
- Lobar emphysema in infants and children.J. Pediat. 1952; 41: 403
- Intrathoracic tension phenomena in the neonatal period and infancy.A. M. A. Arch. Surg. 1958; 76: 402
- Defect of the anterior mediastinum.Surg. Gynec. & Obst. 1945; 80: 549
- Congenital hypertrophic emphysema.Am. J. Roentgenol. 1958; 80: 421
- Localized pulmonary hypertrophic emphysema.J. Thoracic Surg. 1954; 27: 197
- Nonsurgical treatment of unilobar obstructive emphysema of the newborn.Pediatrics. 1954; 14: 296
- Obstructive emphysema with a defect of the anterior mediastinum.J. Thoracic Surg. 1951; 21: 438
- Tension emphysema: A surgical emergency in infants.M. J. Australia. 1954; 2: 342
- Emphysema of a portion of the lung in the early months of life.Am. J. Dis. Child. 1939; 57: 861
- Congenital lobar emphysema.Pediatrics. 1951; 8: 795
- Localized hypertrophic emphysema.Pediatrics. 1952; 9: 220
- Localized hypertrophic emphysema.Dis. Chest. 1956; 30: 356
- Lobar obstructive emphysema in infancy treated by lobectomy.J. Thoracic Surg. 1953; 26: 1
- Lobar emphysema.Am. J. Roentgenol. 1955; 73: 375
- Lobar emphysema in the young.Postgrad. Med. 1958; 23: 436
- Congenital lobar emphysema.Arch. Dis. Childhood. 1954; 29: 248
- Localized pulmonary hypertrophic emphysema.J. Thoracic Surg. 1952; 24: 522
Received: November 17, 1961
© 1962 Published by Elsevier Inc.