Surgical cause of respiratory distress in a newborn

Authors

  • Vishnu Vardhan Reddy M. Department of Paediatrics and Neonatology Apollo Cradle and Childrens Hospital, Kondapur, Hyderabad, Telangana, India
  • Suguna Reddy C. Department of Paediatrics and Neonatology Apollo Cradle and Childrens Hospital, Kondapur, Hyderabad, Telangana, India
  • Yoga Nagendhar Department of Paediatrics and Neonatology Apollo Cradle and Childrens Hospital, Kondapur, Hyderabad, Telangana, India
  • Vardhini Sree D. Department of Paediatrics and Neonatology Apollo Cradle and Childrens Hospital, Kondapur, Hyderabad, Telangana, India http://orcid.org/0000-0003-2445-689X

DOI:

https://doi.org/10.18203/2349-3291.ijcp20213334

Keywords:

Respiratory distress, Hyperlucency, CLE

Abstract

Common causes of respiratory distress in a term infant include transient tachypnoea of newborn, sepsis/congenital pneumonia and congenital heart diseases. Surgical causes of distress in a newborn are rare and should be considered when other causes have been ruled out. We report a case of an early term female neonate who developed respiratory distress immediately after birth which was gradually progressive and required respiratory support. On evaluation with chest radiography and CT, a diagnosis of congenital lobar emphysema (CLE) was made. Immediate surgical resection was planned and done on day 8 of life. Post operatively she had no respiratory distress and discharged within a week. Baby is now healthy with normal growth and development. Half of the cases of CLE are diagnosed within the first 6 months of life but very few cases present with respiratory distress since birth. Timely diagnosis and early surgical excision in neonates <2 months improve the outcome, as seen in our case.

Author Biographies

Vishnu Vardhan Reddy M., Department of Paediatrics and Neonatology Apollo Cradle and Childrens Hospital, Kondapur, Hyderabad, Telangana, India

Head of Department

 

Suguna Reddy C., Department of Paediatrics and Neonatology Apollo Cradle and Childrens Hospital, Kondapur, Hyderabad, Telangana, India

Senior Consultant

 

Yoga Nagendhar, Department of Paediatrics and Neonatology Apollo Cradle and Childrens Hospital, Kondapur, Hyderabad, Telangana, India

Senior Consultant

 

Vardhini Sree D., Department of Paediatrics and Neonatology Apollo Cradle and Childrens Hospital, Kondapur, Hyderabad, Telangana, India

Registrar

 

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Published

2021-08-23

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Section

Case Reports