A case report: Antenatal diagnosis of Rare Presentation of congenital Lober Emphysema (original) (raw)
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[Oesophageal duplication with neonatal revelation. About 2 cases]
Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie, 2008
Oesophageal duplication is a rare form of digestive duplication. This congenital malformation can be asymptomatic or manifest itself through respiratory signs due to airway compression. We report 2 cases of oesophageal duplication discovered in the neonatal period. In both cases, symptoms were dominated by respiratory distress and vomiting. Diagnosis was confirmed by oesophageal contrast X-rays, which revealed a total tubular form in the 1st case and a cystic form in the 2nd case. Oesophageal duplication is a rare abnormality of benign nature, which can be revealed in neonatal period by a noisy compression picture. Diagnosis of this anomaly should trigger a search for other digestive duplications, as well as associated malformations, in particular vertebral.
Archives De Pediatrie, 1997
R6sume Deux meihodes de ventilation selective ont~te proposees pour Ie traltement d'un emphyserne pulmonaire localise severe: I'intubation selective controlatc!mJe et l'obstruction selective du cOte attelnt parun catheter a ballonnet, Observal/ons. -Nous avons utilise cette derniere methode trois fois avec des resultats divers. Le catheter utilise etaitune sonde deSwann Ganz SF.Deux fois l'atteinte siegeail au lobe inf~rieur droit, une fois au lobe moyen droit. Dans un cas, l'amelloration n'a~te que uansltoire et une lobectcrnle a et~necessalre, Dans deux cas, la resolution complete de l'emphyseme a ete obtenue en 3[ours, Pour I'un de ces enfants, une recidive gauche n'a pu eire trait~e ni par obstruction selective, ni par intubation selective, et une lobectomie a elt effectuee. Concludon. -L'obstruction selective n'est pas toujours efJieace, mais c'est une technique simple et bien lolerec qui merite d'etre tentc!e enens d'emphyseme lobalre severe resistant~Inprise encharge habhuelle, emphjseme lnierstlllel unUat~rnll occlusion bronchlque s~lcclive I d~lrcssc mplratolre Summary -Value and limits or selecUve bronchial inlubatlon for the treatment or severe localized pulmonary Interstitial emphysema Inneonates, Background. -Two methods of selective ventilation have been used for treating severe localized pulmonary emphyselna in the neonates: contralateral selective intubation and selective hroncllial obstruction. Case reports. -Three neonates with acute respiratory distress required respiratory support tha: was compllcated by developmen: ojsevere localized pulmonary interstitial emphysel1U1 of theright lobe (11'0'0 cases) and the middle lobe (one case). Selective bronchial obstruction with aSwann Ganz catheter SFwas tentatively made: in one case, improvement was moderate and transitory, requiring middle lobectomy. The localiud emph)'sema disappeared within 3 days in the two other cases buta localized emph)'sema appeared in lhe contralateral lung in oneof them, requiring left inferior lobectomy because the intf!ecti~'eness of selectil'e intubation orselective obstruction. Conclusion. -Selective bronchial obstruction mayfailbutthis easy alUl well tolerated method should betried in severe localized emph)'sema, specia//)' in those patients who cannot be I'enti/ated with high-frequency oscillation, pulmonary emphysema I ventilation I respiratory distress syndrome I Infant I newborn I/o Correspondence et tires-tl-part,' E Gourrier, service tie medecine neonatale, hOpital Rene-Dubos, 6, avenue ile-de-France. 95301 Pontolse, France.
[Ebstein's anomaly : from fetal diagnosis to surgical treatment]
Revue medicale de Liege, 2020
Ebstein's anomaly is a rare and complex congenital heart disease involving abnormal embryological development of the tricuspid valve. Its exact prevalence remains unknown given the under-diagnosis of minor forms and the broad clinical spectrum of this pathology resulting from the highly variable tricuspid morphology. Echocardiography plays an important role in diagnosis, assessment and prognostic evaluation of this condition. We present the case of a 6-year-old boy born from a twin pregnancy with a severe neonatal EA diagnosed by ultrasound at 29 weeks of gestation and we discuss the management on the light of the recent literature.
[The congenital afibrinogenemia: case report]
Annales de biologie clinique
The deficiency in factor I or fibrinogen is a largely unknown genetic disease. It is a rare condition inherited as an autosomal recessive, whose clinical events are variable, ranging from moderate to minimal bleeding or cataclysmic hemorrhage. We report a case of congenital afibrinogenemia in a 17 years-old patient hospitalized in surgical ICU for hemoperitoneum medium abundance discovered by abdominal ultrasound performed before a picture of abdominopelvic pain lasting for 24 hours. Exploration led to the diagnosis of congenital afibrinogenemia with favorable evolution with a contribution of factor deficient. Through this case we raise the problem of congenital afibrinogenemia in diagnosis and the peculiarities of its management.
MENINGEAL LYMPHOMA REVEALED BY BILATERAL EXOPHTHALMITIS.
This work reports a rare case of meningeal lymphoma revealed by a bilateral exophthalmos and takes stock of this association. primary meningeal lymphoma is a very rare localization of lymphoma and its revelation by an exophthalmia is even rarer, despite the multitude of radiological aspects the role of imaging essentially MRI is essential for early diagnosis, the assessment of extension and control after a suitable treatment.
[Is the bronchial atresia prenatal diagnosis possible?]
Gynécologie, obstétrique & fertilité, 2008
Bronchial atresia is a rare congenital malformation of the lung. The main-stem segmental or lobar bronchus fails to construct normally, which can lead to accumulation of mucus within the distal bronchi or lung hyperinflation of the obstructed lobe. The prenatal diagnosis is rare and difficult. We report two cases of fetuses who presented pathological examination of the lung on the ultrasonography, at 22 weeks of gestation, suspect of prenatal bronchial atresia diagnosis. We analysed this malformation through a literature review in order to discuss differential diagnosis to be evoked, as well as appropriate perinatal management.
Abcès pulmonaire primitif à staphylocoque : situation rare chez l’enfant
Revue De Pneumologie Clinique, 2014
Introduction.-L'abcès primitif du poumon est rare chez l'enfant, il se définit par une zone de nécrose au niveau du parenchyme pulmonaire, d'origine suppurative, non tuberculeuse, entraînant la formation d'une cavité à contenu purulent. Observation.-Un garçon âgé de 3 ans et 5 mois, a été hospitalisé pour exploration d'une fièvre au long cours compliquée d'une détresse respiratoire. La radiographie du thorax a mis en évidence une opacité non systématisée, bien limitée, de tonalité hydrique, excavée, à paroi épaisse, avec un niveau hydro-aérique. L'échographie thoracique a montré une collection de 6,8 cm de diamètre, au niveau du champ pulmonaire droit, contenant un niveau hydro-aérique. Les hémocultures étaient positives à Staphylococcus aureus. L'évolution sous antibiothérapie à large spectre a été marquée par la survenue à j3 d'hospitalisation d'un choc septique, nécessitant le recours à une mise à plat chirurgicale. L'examen anatomopathologique du dôme réséqué a confirmé le diagnostic d'abcès pulmonaire. Le diagnostic d'abcès primitif a été retenu devant l'absence de porte d'entrée, de cause locale ou générale et le bilan immunitaire négatif. Après un recul de 3 ans, l'enfant est asymptomatique, sa radiographie du thorax est sans anomalie. Conclusion.-L'abcès du poumon est une cause rare de fièvre prolongée chez l'enfant. Une cause favorisante locale ou générale est à rechercher systématiquement avant de retenir son caractère primitif.