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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2016.107

Type of Article: Case Report

Volume 3; Issue 2: February 2016

Page No.: 232-236

DOI: 10.16965/ijims.2016.107

 

Congenital Lung Lesions (CLL): Postnatal Management: Operative Intervention or Serial Observation: A Review of 2 Cases

Niraj Kumar Dipak *, Deepa shetty, Sudha Rao, Praful Ramdas Shanbhag, Avinash Desai, Manjula Rupani.

Department of Neonatology, B J Wadia Hospital for Children, Nowrosjee Wadia Maternity Hospital, Acharya Donde Marg, Parel, Mumbai 400012, Maharashtra, India.

CORRESPONDING AUTHOR ADDRESS: Dr. Niraj Kumar Dipak, Department of Neonatology, B J Wadia hospital for children, Nowrosjee Wadia maternity hospital, Acharya Donde Marg, Parel, Mumbai 400012, Maharashtra, India. Mobile no.: +919819020036 E-Mail: neonatalfundas@gmail.com

ABSTRACT

Background: Antenatal diagnosis of CLLs can be made as early as 18 weeks of gestation and sequential scanning guides in  fetal intervention, or in adopting conservative management. Pregnancy outcome depends upon many factors such as mediastinal shift, presence of pleural effusion, ascites, hydrops, chromosomal anomalies and malformations involving other systems.

Case characteristics: We present a series of 2 cases presented prenatally as CLL and managed differently, one with operative intervention whereas other one with serial observation

Conclusion: The best postnatal management is uncertain for these lesions and informed consent for operative intervention must include current state of evidence.

Key words: Cystic Adenomatoid Malformation, Bronchpulmonary Sequestration, Thoracotomy, Conservative Management, Echolucent, Polyhydramnios.

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