Acquired lobar emphysema in a case of interstitial chronic lung disease. Surgical implications and review of the literature

• Main Authors: Sancho Hernández Rogelio, Peréz Fernández Lorenzo Felipe
• Format: Article
• Language: Spanish
• Published: Instituto Nacional de Pediatría 2014-07-01
• Series: Acta Pediátrica de México
• Subjects: Enfisema lobar intersticial adquirido; neumopatía crónica intersticial; biopsia pulmonar; cmpresión del parénquima
• Online Access: http://ojs.actapediatrica.org.mx/index.php/APM/article/view/638

Acquired lobar interstitial emphysema (ALIE), initially described in infants with bronchopulmonary dysplasia is now known to occur in other conditions such as a secondary post-traumatic or inflammatory injury as in patients requiring ventilatory sup- port with chronic lung disease. The ALIE leads to progressive deterioration of lung function with massive distension and com- pression of lung parenchyma with consequent mediastinal shift in the course of chronic interstitial lung disease. This situation requires adequate clinical and radiological interpretation in order to make the proper patient selection i.e., between a candidate for lung biopsy for the benefit of a definitive diagnosis or one who in the course of a superimposed ALIE requires a diagnostic and therapeutic lobectomy. Two cases of this entity and descriptive decision-making diagnostic and surgical about pre-and intraop- erative findings are presented.