2001 Volume 15 Issue 2 Pages 146-150
A boy aged 2 years and 8 months was admitted to our hospital complaining of cough and severe dyspnea. Chest X-ray and CT scan revealed overinflation of the left upper lobe of the lung. Congenital lobar emphysema was confirmed after observation of left upper lobe bronchial stenosis during expiration by flexible bronchoscope. A left upper lobectomy was performed and the postoperative course was uneventful. Histological examination of the left upper lobe bronchus revealed normal bronchial wall structure. The patient's body weight at the time of surgery was just above the lower limit of the normal growth curve and caught up 16 months after surgery, suggesting that this disease suppressed the patient's normal growth.