Pulmonary Cysts (Lungenzysten)

General information:

  • Lesion develops between the 6th and 16th week of gestation. In contratst to the central (bronchogenic) cyst, they may be multiple and extensive.
  • Bronchial communication is more common.
  • Differential diagnosis includes CCAM, congenital lobar emphysema, pneumothorax (sharp costophrenic angle) or congenital diaphragmatic hernia.
Congenizal pulmoary cysts with mediatinal shift
Congenizal pulmoary cysts with mediatinal shift

Symptoms:

  • Respiratory distress shortly after birth.

Diagnostic workout:

  • Plain chest X-ray, CT scan.

Indication for operation:

  • Clear indication for resection.

Treatment/Operation:

  • Thoracotomy, segmentectomy or lobectomy.

Postoperative management:

  • Chest tubes may be removed if the lung is fully expanded and drainage volumes decrease below 20 to 50cc during a 24 hour period.

Prognosis:

  • Good.
KidsDoc.at
Recommend this site:
Please note: The content of this page is for information only and does not substitute MEDICAL CONSULTATION!
PAEDIATRIC SURGERY VIENNA
(a service of the Association of Paediatric Surgery and Paediatric Surgery Intensive Care)
Impressum   |   Datenschutz   |   Website by berghWerk New Media