Nasir Saleem Saddal, Muhammad Anwar, Jamshed Akhtar.
Cystic Lesions of Lung in Infancy.
J Surg Pak Jan ;20(3):100-5.

Objective: To describe clinical presentations, investigations performed for diagnosis, treatment provided and outcome of cystic lesions of the lung in infancy. Study design: Descriptive case series. Place & Duration of study: Department of Paediatric Surgery, National Institute of Child Health Karachi, from January 2010 to February 2012. Methodology: Infants admitted with respiratory distress and later suspected of having structural / anatomical cause for the dyspnea were included. X-ray chest was performed in all the cases. CT scan was advised for detail assessment. Results: A total of twelve patients were managed during the study period. There were seven male and five female patients. Seven lesions were in left lung and five in right lung. This included seven cases of congenital lobar emphysema (CLE), two of pneumatocele, one each of bronchogenic cyst, isolated lung cyst and necrotizing pneumonia. All patients underwent thoracotomy and procedure was tailored according to the pathological lesion. Excision of involved segment of lung was performed in cases of CLE ( five left upper lobes and two right middle lobes) and necrotizing pneumonia (right upper lobe). Lung cyst was found in the fissure between right upper and middle lobes. In two cases of pneumatocele cyts were opened and after partial excision of the wall. Margins of cysts were over sewed. In a single case of bronchogenic cyst which was adherent to left bronchus excision of cyst and repair of bronchus was done. One patient died in this series. Conclusion: Cystic lesions presents in a spectrum; most common being acute respiratory distress. An early diagnosis and prompt surgical intervention is required to prevent morbidity and mortality.

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