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Canadian Respiratory Journal
Volume 5 (1998), Issue 3, Pages 219-221
Case Report

Flexible Bronchoscopy in the Management of Congenital Lobar Emphysema in the Neonate

EZ Phillipos1 and K Libsekal2

11Division of Newborn Medicine, Children’s Health Centre, University of Alberta Hospital, Edmonton, Canada
2Queen Elizabeth Hospital, Grande Prairie, Alberta, Canada

Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This paper describes the case of a 3 kg neonate who had congenital lobar emphysema of the left upper lobe (LUL). He was in severe respiratory distress with a fraction of inspired oxygen of 0.8. Chest x-ray showed hyperlucent expanded left hemithorax and marked mediastinal shift. Following flexible bronchoscopy and introduction of ultrathin bronchoscope into the LUL bronchus, symptoms and chest x-ray improved markedly. Flexible bronchoscopy resulted in emergency relief of his initial respiratory distress, and left upper lobe lobectomy was performed electively three days later.