An infant with a hyperlucent chest mass: An unexpected diagnosis.

Abstract:

INTRODUCTION:We report an unusual finding of pneumatocele in an infant. CASE REPORT:A previously well four month old presented with worsening respiratory distress over 6 weeks. He had no antecedent signs or symptoms of respiratory infection. Chest radiograph demonstrated a lucent hemithorax concerning for tension pneumothorax. Urgent needle decompression was performed. Chest CT showed a persistent dominant macrocyst on the left. Thoracotomy revealed a large cystic lesion necessitating a left lower lobectomy. Histopathology was consistent with a pneumatocele. He remains clinically stable at 16 months postoperatively. DISCUSSION:Pneumatocele is a rare cause of cystic lung disease presenting in infancy. The young age at onset, prolonged symptoms without preceding infection, and tension physiology in our patient are unique.

journal_name

Pediatr Pulmonol

journal_title

Pediatric pulmonology

authors

Ehsan Z,Nathan JD,Kercsmar CM

doi

10.1002/ppul.23257

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

E52-4

issue

12

eissn

8755-6863

issn

1099-0496

journal_volume

50

pub_type

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