Thoracoscopic pneumonectomy for an esophageal lung in a newborn: A case report
Introduction: The esophageal lung is an extremely infrequent congenital malformation within the broncho-pulmonary foregut malformations (CBPFM) spectrum, characterized by the presence of a communication between the esophagus and the lung tissue. Case presentation: A 9-day-old male newborn was transf...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
|
| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623001641 |
| _version_ | 1827728384368574464 |
|---|---|
| author | Valentina Saavedra Taboada Eduardo Leopold González Angela Cristino Waldo Osorio Catalan Claudio Arce Fricke Patricio Varela Balbontín |
| author_facet | Valentina Saavedra Taboada Eduardo Leopold González Angela Cristino Waldo Osorio Catalan Claudio Arce Fricke Patricio Varela Balbontín |
| author_sort | Valentina Saavedra Taboada |
| collection | DOAJ |
| description | Introduction: The esophageal lung is an extremely infrequent congenital malformation within the broncho-pulmonary foregut malformations (CBPFM) spectrum, characterized by the presence of a communication between the esophagus and the lung tissue. Case presentation: A 9-day-old male newborn was transferred from a secondary center to our center on suspicion of a tracheo-esophageal fistula after a chest x-ray revealed opacification of the entire right lung, along with tracheal deviation and mediastinal shift, indicating severe right lung atelectasis. A non-contrast chest tomography showed right lung atelectasis and a bronchus-esophagus communication. The patient was asymptomatic on arrival. A bronchoscopy was done on day of life 10, and revealed absence of a carina and a single left-sided main bronchus. Additionally the patient underwent an esophagoscopy that revealed an opening on the right side of the distal third of the esophagus. Contrast studies confirmed the broncho-esophageal communication and the absence of a right main stem bronchus arising from the trachea. At 17 days of age the patient underwent a thoracoscopy. The esophageal bronchus was identified and a pneumonectomy was completed. The patient was extubated 1 day after the operation. At 6 months of follow up he is thriving well and has no oxygen requirements. Conclusion: This case emphasizes the importance of early diagnosis in cases of esophageal lung, which can be accomplished by a combination of radiological and endoscopic studies. Pneumonectomy is the treatment of choice. |
| first_indexed | 2024-03-10T23:29:26Z |
| format | Article |
| id | doaj.art-1effd83dd9634e06b85c180e8a4e6554 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-03-10T23:29:26Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-1effd83dd9634e06b85c180e8a4e65542023-11-19T04:34:44ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-12-0199102738Thoracoscopic pneumonectomy for an esophageal lung in a newborn: A case reportValentina Saavedra Taboada0Eduardo Leopold González1Angela Cristino2Waldo Osorio Catalan3Claudio Arce Fricke4Patricio Varela Balbontín5Dr. Luis Calvo Mackenna Children's Hospital, Universidad de Chile, Chile; Corresponding author.Dr. Luis Calvo Mackenna Children's Hospital, Pediatric Surgery Department, Universidad de Chile, ChileDr. Luis Calvo Mackenna Children's Hospital, Pediatric Surgery Department, Universidad de Chile, ChileDr. Luis Calvo Mackenna Children's Hospital, ChileDr. Luis Calvo Mackenna Children's Hospital, ChileDr. Luis Calvo Mackenna Children's Hospital, Pediatric Surgery Department, Universidad de Chile, ChileIntroduction: The esophageal lung is an extremely infrequent congenital malformation within the broncho-pulmonary foregut malformations (CBPFM) spectrum, characterized by the presence of a communication between the esophagus and the lung tissue. Case presentation: A 9-day-old male newborn was transferred from a secondary center to our center on suspicion of a tracheo-esophageal fistula after a chest x-ray revealed opacification of the entire right lung, along with tracheal deviation and mediastinal shift, indicating severe right lung atelectasis. A non-contrast chest tomography showed right lung atelectasis and a bronchus-esophagus communication. The patient was asymptomatic on arrival. A bronchoscopy was done on day of life 10, and revealed absence of a carina and a single left-sided main bronchus. Additionally the patient underwent an esophagoscopy that revealed an opening on the right side of the distal third of the esophagus. Contrast studies confirmed the broncho-esophageal communication and the absence of a right main stem bronchus arising from the trachea. At 17 days of age the patient underwent a thoracoscopy. The esophageal bronchus was identified and a pneumonectomy was completed. The patient was extubated 1 day after the operation. At 6 months of follow up he is thriving well and has no oxygen requirements. Conclusion: This case emphasizes the importance of early diagnosis in cases of esophageal lung, which can be accomplished by a combination of radiological and endoscopic studies. Pneumonectomy is the treatment of choice.http://www.sciencedirect.com/science/article/pii/S2213576623001641Congenital bronchopulmonary foregut malformationEsophageal bronchusEsophageal lungThoracoscopyCase report |
| spellingShingle | Valentina Saavedra Taboada Eduardo Leopold González Angela Cristino Waldo Osorio Catalan Claudio Arce Fricke Patricio Varela Balbontín Thoracoscopic pneumonectomy for an esophageal lung in a newborn: A case report Journal of Pediatric Surgery Case Reports Congenital bronchopulmonary foregut malformation Esophageal bronchus Esophageal lung Thoracoscopy Case report |
| title | Thoracoscopic pneumonectomy for an esophageal lung in a newborn: A case report |
| title_full | Thoracoscopic pneumonectomy for an esophageal lung in a newborn: A case report |
| title_fullStr | Thoracoscopic pneumonectomy for an esophageal lung in a newborn: A case report |
| title_full_unstemmed | Thoracoscopic pneumonectomy for an esophageal lung in a newborn: A case report |
| title_short | Thoracoscopic pneumonectomy for an esophageal lung in a newborn: A case report |
| title_sort | thoracoscopic pneumonectomy for an esophageal lung in a newborn a case report |
| topic | Congenital bronchopulmonary foregut malformation Esophageal bronchus Esophageal lung Thoracoscopy Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576623001641 |
| work_keys_str_mv | AT valentinasaavedrataboada thoracoscopicpneumonectomyforanesophageallunginanewbornacasereport AT eduardoleopoldgonzalez thoracoscopicpneumonectomyforanesophageallunginanewbornacasereport AT angelacristino thoracoscopicpneumonectomyforanesophageallunginanewbornacasereport AT waldoosoriocatalan thoracoscopicpneumonectomyforanesophageallunginanewbornacasereport AT claudioarcefricke thoracoscopicpneumonectomyforanesophageallunginanewbornacasereport AT patriciovarelabalbontin thoracoscopicpneumonectomyforanesophageallunginanewbornacasereport |