Abstract

MARTINEZ-RODRIGUEZ, Laura Paola; MORENO-GOMEZ, Luz Ángela; CARRILLO-BAYONA, Jorge Alberto  and  RUEDA-BADILLO, Edward Yesid. Cystic lung lesions in neonate: they do not always represent pulmonary congenital disease. Case report. Medicas UIS [online]. 2018, vol.31, n.1, pp.65-70. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v31n1-2018007.

Unilateral pulmonary cysts are an unusual finding in neonates, from the point of view of the radiologist it is difficult to distinguish congenital pulmonary cysts from those acquired. The definitive diagnosis is histological. A 28-week premature neonate with respiratory distress syndrome is present in relation to multiple pulmonary cysts. The initial chest X-rays showed a solitary left pulmonary cyst. It required a staggered respiratory assistance, along with serial X-rays where the presence of pneumothorax and the increase in the size of the initial cystic lesion with the presence of new cysts was observed. Computed tomography confirmed the presence of solitary left lower lobe cyst and several collections of interstitial gas with central soft tissue points in relation to interstitial pulmonary emphysema and was raised as a differential diagnostic cystic adenomatoidea malformation. The lesion was surgically removed in view of clinical deterioration. Histology confirmed the presence of persistent interstitial pulmonary emphysema. MÉD.UIS. 2018;31(1):65-70.

Keywords : Pneumothorax; Barotrauma; Premature.

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