Congenital Central Overinflation with Mainstem Bronchial Stenosis: Pre- and Postnatal Imaging and Outcome—Case Report and Brief Review of Literature
Abstract Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case of central variety of congenital overinflation, secondary to right mainstem bronchial stenosis, not previously described in our knowledge, w...
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| Published in | The Indian journal of radiology & imaging Vol. 31; no. 4; pp. 1031 - 1035 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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| Abstract | Abstract
Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case of central variety of congenital overinflation, secondary to right mainstem bronchial stenosis, not previously described in our knowledge, which presented as an enlarged homogenous echogenic/hyperintense lung with cardio-mediastinal shift and was misdiagnosed as congenital pulmonary airway malformation (CPAM). We reviewed imaging features helpful in prenatal diagnosis of this condition on ultrasound and magnetic resonance imaging and discussed an approach for differential diagnosis. The congenital central overinflation may be considered in prenatal detected echogenic lung lesions with the absence of cysts or systemic arterial supply and presence of hypervascularity or dilated bronchi within the lesion. |
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| AbstractList | Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case of central variety of congenital overinflation, secondary to right mainstem bronchial stenosis, not previously described in our knowledge, which presented as an enlarged homogenous echogenic/hyperintense lung with cardio-mediastinal shift and was misdiagnosed as congenital pulmonary airway malformation (CPAM). We reviewed imaging features helpful in prenatal diagnosis of this condition on ultrasound and magnetic resonance imaging and discussed an approach for differential diagnosis. The congenital central overinflation may be considered in prenatal detected echogenic lung lesions with the absence of cysts or systemic arterial supply and presence of hypervascularity or dilated bronchi within the lesion. Abstract Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case of central variety of congenital overinflation, secondary to right mainstem bronchial stenosis, not previously described in our knowledge, which presented as an enlarged homogenous echogenic/hyperintense lung with cardio-mediastinal shift and was misdiagnosed as congenital pulmonary airway malformation (CPAM). We reviewed imaging features helpful in prenatal diagnosis of this condition on ultrasound and magnetic resonance imaging and discussed an approach for differential diagnosis. The congenital central overinflation may be considered in prenatal detected echogenic lung lesions with the absence of cysts or systemic arterial supply and presence of hypervascularity or dilated bronchi within the lesion. |
| Author | Aggarwal, Satish Kumar Sud, Seema Sheth, Swapnil Ghuman, Samarjit S. Sachdev, Anil Buxi, Tarvinder B.S. |
| AuthorAffiliation | 4 Department of Pediatrics, Sir Gangaram Hospital, New Delhi, India 3 Department of Pediatric Surgery, Sir Gangaram Hospital, New Delhi, India 1 Department of Radiology, Sir Gangaram Hospital, New Delhi, India 2 Department of CT & MRI, Sir Gangaram Hospital, New Delhi, India |
| AuthorAffiliation_xml | – name: 2 Department of CT & MRI, Sir Gangaram Hospital, New Delhi, India – name: 4 Department of Pediatrics, Sir Gangaram Hospital, New Delhi, India – name: 1 Department of Radiology, Sir Gangaram Hospital, New Delhi, India – name: 3 Department of Pediatric Surgery, Sir Gangaram Hospital, New Delhi, India |
| Author_xml | – sequence: 1 givenname: Swapnil surname: Sheth fullname: Sheth, Swapnil email: dr.swapnilsheth4284@gmail.com organization: Department of Radiology, Sir Gangaram Hospital – sequence: 2 givenname: Samarjit S. surname: Ghuman fullname: Ghuman, Samarjit S. organization: Department of CT & MRI, Sir Gangaram Hospital, New Delhi, India – sequence: 3 givenname: Tarvinder B.S. surname: Buxi fullname: Buxi, Tarvinder B.S. organization: Department of CT & MRI, Sir Gangaram Hospital, New Delhi, India – sequence: 4 givenname: Seema surname: Sud fullname: Sud, Seema organization: Department of CT & MRI, Sir Gangaram Hospital, New Delhi, India – sequence: 5 givenname: Satish Kumar surname: Aggarwal fullname: Aggarwal, Satish Kumar organization: Department of Pediatric Surgery, Sir Gangaram Hospital, New Delhi, India – sequence: 6 givenname: Anil surname: Sachdev fullname: Sachdev, Anil organization: Department of Pediatrics, Sir Gangaram Hospital, New Delhi, India |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35136523$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.jpedsurg.2005.10.082 10.1055/s-0038-1673620 10.1148/rg.306105508 10.1002/jum.14801 10.1136/thx.39.3.211 10.1002/pd.4827 10.3389/fped.2019.00239 |
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| Copyright | Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ). Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( ) 2021 Indian Radiological Association. |
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| Keywords | congenital overinflation MRI prenatal ultrasound bronchial stenosis |
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| References | F Annunziata (ref3) 2019; 7 D R Biyyam (ref5) 2010; 30 D W Man (ref7) 1984; 39 S M Kunisaki (ref4) 2006; 41 E R Oliver (ref6) 2019; 38 M Kozaki (ref2) 2018; 8 J H Johnston (ref1) 2016; 36 |
| References_xml | – volume: 41 start-page: 61 issue: 01 year: 2006 ident: ref4 article-title: Bronchial atresia: the hidden pathology within a spectrum of prenatally diagnosed lung masses publication-title: J Pediatr Surg doi: 10.1016/j.jpedsurg.2005.10.082 contributor: fullname: S M Kunisaki – volume: 8 start-page: e201 issue: 04 year: 2018 ident: ref2 article-title: Fetal congenital peripheral bronchial atresia diagnosed by magnetic resonance imaging: two case reports publication-title: AJP Rep doi: 10.1055/s-0038-1673620 contributor: fullname: M Kozaki – volume: 30 start-page: 1721 issue: 06 year: 2010 ident: ref5 article-title: Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation publication-title: Radiographics doi: 10.1148/rg.306105508 contributor: fullname: D R Biyyam – volume: 38 start-page: 1229 issue: 05 year: 2019 ident: ref6 article-title: Congenital lobar overinflation: a rare enigmatic lung lesion on prenatal ultrasound and magnetic resonance imaging publication-title: J Ultrasound Med doi: 10.1002/jum.14801 contributor: fullname: E R Oliver – volume: 39 start-page: 211 issue: 03 year: 1984 ident: ref7 article-title: Congenital obstructive emphysema of the left lung associated with a mediastinal lymphatic cyst publication-title: Thorax doi: 10.1136/thx.39.3.211 contributor: fullname: D W Man – volume: 36 start-page: 568 issue: 06 year: 2016 ident: ref1 article-title: Congenital overinflation: prenatal MRI and US findings and outcomes publication-title: Prenat Diagn doi: 10.1002/pd.4827 contributor: fullname: J H Johnston – volume: 7 start-page: 239 year: 2019 ident: ref3 article-title: Congenital lung malformations: unresolved issues and unanswered questions publication-title: Front Pediatr doi: 10.3389/fped.2019.00239 contributor: fullname: F Annunziata |
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Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case... Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case of... |
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| Title | Congenital Central Overinflation with Mainstem Bronchial Stenosis: Pre- and Postnatal Imaging and Outcome—Case Report and Brief Review of Literature |
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