Management of congenital lobar overinflation in an adult

Congenital lobar overinflation is characterized by disruption of bronchopulmonary development which produces lobar or segmental bronchial abnormalities and overinflation of normal lung tissue. This is a 44-year old man, never smoker, who presents dyspnea every time he arrived in highlands, marked de...

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Autores:
Fernández, Alexander
Martínez, Stella I.
Prada, Gonzalo
Martínez, Jaime
Méndez, Claudia
Acosta Huertas, Sandra Lilian
Tipo de recurso:
Article of journal
Fecha de publicación:
2020
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
eng
OAI Identifier:
oai:repositorio.unbosque.edu.co:20.500.12495/3666
Acceso en línea:
http://hdl.handle.net/20.500.12495/3666
https://doi.org/10.1007/s11748-020-01444-w
https://repositorio.unbosque.edu.co
Palabra clave:
Emphysema
Overinflation
Lobar
Congenital
Adult
Rights
openAccess
License
Acceso abierto
Description
Summary:Congenital lobar overinflation is characterized by disruption of bronchopulmonary development which produces lobar or segmental bronchial abnormalities and overinflation of normal lung tissue. This is a 44-year old man, never smoker, who presents dyspnea every time he arrived in highlands, marked decreased breathing sounds and hyperresonance in the left hemithorax. Imaging studies suggested left upper lobe overinflation. The affected area was resected resulting in symptoms improvement. Accepted treatment is resection, however conservative management has been proposed for asymptomatic patients because cases of spontaneous improvement have been described. We recommend close monitoring and resection if symptoms or overinflation progress.