Der Pathologe · 2008
[Postnatally acquired pulmonary cyst: differential diagnosis of pediatric cystic pulmonary lesions].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Müller A M, Mayer E, Schumacher R, Müller K M, Kamin W
Аннотация
BACKGROUND: Differential diagnosis of infantile pulmonary cysts comprises congenital cystic lesions (including foregut cysts) and pneumatoceles (i.e., pulmonary cysts of acquired, inflammatory or traumatic origin).
CASE: We report the resection of a subpleural air-filled lung cyst of 4 cm in a former preterm (33rd week of pregnancy) at the age of 8 months that was first diagnosed 7 days postnatally by chest X-ray. Pneumatocele was diagnosed pathomorphologically.
CONCLUSION: In children, most pneumatoceles are caused by trauma or pneumonia. In the case described, disruption of subpleural alveolar walls due to high pressure ventilation is the likely cause. Differential diagnoses are discussed.
CASE: We report the resection of a subpleural air-filled lung cyst of 4 cm in a former preterm (33rd week of pregnancy) at the age of 8 months that was first diagnosed 7 days postnatally by chest X-ray. Pneumatocele was diagnosed pathomorphologically.
CONCLUSION: In children, most pneumatoceles are caused by trauma or pneumonia. In the case described, disruption of subpleural alveolar walls due to high pressure ventilation is the likely cause. Differential diagnoses are discussed.