Congenital bilobar emphysema

Ghribi, A.; Mekki, Mongi; Krichène, I.; Jouini, R.; Maazoun, K.; Sahnoun, Lassâad; Brahim, M. Ben; Belghith, Mohsen; Hafsa, C.; Zakhama, Abdelfattah; Nouri, Abdellatif

doi:10.1016/j.jpedsurg.2008.03.069

Cited by 4 publications

(18 citation statements)

References 3 publications

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“…5 Surgical treatment is debritement of edges with primary closure of perforation. 1,3,6 However, diffuse necrosis and inflammation can sometimes requires partial or total gastrectomy. 3 The omental patch (Graham patch) is an operative approach to the treatment of ulcer patch method used in children with peptic ulcer perforation was simple and reliable.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,6 However, diffuse necrosis and inflammation can sometimes requires partial or total gastrectomy. 3 The omental patch (Graham patch) is an operative approach to the treatment of ulcer patch method used in children with peptic ulcer perforation was simple and reliable. 4 As described in our case peritoneal drainage can be as an initial treatment method in unstable neonates for surgery.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,6 However, diffuse necrosis and inflammation can sometimes requires partial or total gastrectomy. 3 The omental patch (Graham patch) is an operative approach to the treatment of ulcer perforations and is described 70 years ago by Graham. A good vascularized omental pedicle is brought to the perforation area and the perforation area is closed with the omentum.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Surgical treatment in perforations is based on debridement of necrotic edges and subsequently primary closure of layers. 1,3 Omental patches were first described by Cellen-Jones in 1929 and then by Graham in 1937. 4 In this case, We described the management of a case of neonatal iatrogenic gastric perforation with Graham Patch.…”

Section: Introductionmentioning

confidence: 99%

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Successful Managment Of Neonatal Gastric Perforation With Graham Patch: An Old Technique In A Newborn

Beğer

2019

Online Türk Sağlık Bilimleri Dergisi

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Neonatal gastrik perforasyon acil cerrahi gerektiren oldukça nadir bir durumdur. Kötü prognoza ve yüksek mortaliteye sahiptir. Omental yama, erişkinlerde gastrik ve duedonal perforasyonlar için sıklıkla kullanılmaktadır. Graham Patch, yenidoğanın iatrojenik mide perforasyonlarında kullanılabilecek basit ve etkili bir yöntemdir. Bu olgu ile yenidoğan hastada iyatrojenik gastrik perforasyonun tedavisi tanımlandı.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…1,3,6 However, diffuse necrosis and inflammation can sometimes requires partial or total gastrectomy. 3 The omental patch (Graham patch) is an operative approach to the treatment of ulcer perforations and is described 70 years ago by Graham. A good vascularized omental pedicle is brought to the perforation area and the perforation area is closed with the omentum.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Successful Managment Of Neonatal Gastric Perforation With Graham Patch: An Old Technique In A Newborn

Beğer

2019

Online Türk Sağlık Bilimleri Dergisi

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“…It usually presents as respiratory distress in the first few days of life, and a majority of reported cases of congenital lobar emphysema have documented its presentation in neonates [1][2][3][4][5][6][7][8][9][10]. Approximately 50% of cases identified in the first month of life, and only 5% of cases are detected after the age of six months [11]. We discussed the successful diagnosis and treatment of a rare case of congenital lobar emphysema in a 25-year old woman.…”

Section: Summary and Discussionmentioning

confidence: 99%

Congenital Lobar Emphysema in Adult Treated With Video Assisted Thoracoscopic Lobectomy

Perry¹,

Espiritu²,

Schroeder³

2013

J Pulm Respir Med

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Congenital Lobar Emphysema (CLE) is an uncommon pulmonary disorder in which one or more pulmonary lobes is over-inflated and distended. Fewer than 5% of cases are diagnosed beyond the first 6 months of life. We describe CLE that presented in a 25 yr old female who was successfully treated with minimally invasive video assisted thoracoscopic surgery (VATS). Case ReportA 25-year old Puerto Rican female presented with increased shortness of breath, cough and chest pain. Her past medical history included diagnosis of asthma In Puerto-Rico at the age of five, treated with advair. During her third pregnancy, at the age of 23, the patient experienced shortness of breath and reported "fainting". A chest CT at that time diagnosed her with lobar emphysema.In the United States, she presented to an outside hospital with exacerbation of shortness of breath, where she was thought to have a pneumothorax, and a right chest tube was placed. She was then transferred to the Medical Center ICU. At presentation, She was afebrile, exhibiting tachycardia (117 bpm), with 28 respirations per minute, oxygen saturation of 91%, and decreased breath sounds on the right chest field.Pulmonary function test suggested of Restrictive Lung Disease (RLD) ( Table 1). The patient's initial X-rays, as seen in Figure 1, indicate hyperlucency on the right side, flattening of the right diaphragm, and a slight shift of mediastinum to the left. The right lung is collapsed inferiorly. There are a severe number of bullae within the right hemithorax, with some consolidation or collapse in the region of the right perihilar region.CT taken before surgery documented large bullae, mediastinal shift, and compressed right lung. (Figure 2 and 3). Treatment and Surgical FindingsSince the patient's shortness of breath was not successfully managed with Oxygen support and chest tube drainage, she was scheduled for a bronchoscopy and a Video Assisted Thoracoscopic Surgery (VATS) -right upper lobectomy. On BronchoscopyThe Right Upper Lobe (RUL) takeoff was a slit-like lumen, slightly distorted -confirms the diagnosis of CLE.VATS right upper lobectomy was performed with general endotracheal anesthesia with a double lumen tube and one lung ventilation. We used 3 ports; 10mm port in the seventh intercostal space in anterior axillary line, 10mm trocar in posterior axillary Using a 10 mm 30 degree Olympus scopeThe right upper lobe composed entirely of large bullae. The bullae did not deflate and were densely adherent to the chest wall. There were also aberrant blood vessels from the chest wall to the bullae, with no apparent superior pulmonary vein, pulmonary artery, or bronchi going to the bullous portion. However, the segmental bronchi and major pulmonary vessels were found attached to the area of the hilum of the atritic lobe. An endoscopic EndoGIA (Covidian) used to divide the vessels and the rudimentary bronchus. The lobe removed with an endobag. A 28 french chest tube was left in the chest. PathologyMicroscopic examination of the resected lobe showed dense fi...

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