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DOI: 10.1055/s-0041-1739380
Congenital Central Overinflation with Mainstem Bronchial Stenosis: Pre- and Postnatal Imaging and Outcome—Case Report and Brief Review of Literature

Abstract
Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case of central variety of congenital overinflation, secondary to right mainstem bronchial stenosis, not previously described in our knowledge, which presented as an enlarged homogenous echogenic/hyperintense lung with cardio-mediastinal shift and was misdiagnosed as congenital pulmonary airway malformation (CPAM). We reviewed imaging features helpful in prenatal diagnosis of this condition on ultrasound and magnetic resonance imaging and discussed an approach for differential diagnosis. The congenital central overinflation may be considered in prenatal detected echogenic lung lesions with the absence of cysts or systemic arterial supply and presence of hypervascularity or dilated bronchi within the lesion.
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Publikationsverlauf
Artikel online veröffentlicht:
30. November 2021
© 2021. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Johnston JH, Kline-Fath BM, Bitters C, Calvo-Garcia MA, Lim FYY. Congenital overinflation: prenatal MRI and US findings and outcomes. Prenat Diagn 2016; 36 (06) 568-575
- 2 Kozaki M, Iraha Y, Masamoto H. et al. Fetal congenital peripheral bronchial atresia diagnosed by magnetic resonance imaging: two case reports. AJP Rep 2018; 8 (04) e201-e205
- 3 Annunziata F, Bush A, Borgia F. et al. Congenital lung malformations: unresolved issues and unanswered questions. Front Pediatr 2019; 7: 239
- 4 Kunisaki SM, Fauza DO, Nemes LP. et al. Bronchial atresia: the hidden pathology within a spectrum of prenatally diagnosed lung masses. J Pediatr Surg 2006; 41 (01) 61-65 , discussion 61–65
- 5 Biyyam DR, Chapman T, Ferguson MR, Deutsch G, Dighe MK. Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation. Radiographics 2010; 30 (06) 1721-1738
- 6 Oliver ER, DeBari SE, Horii SC. et al. Congenital lobar overinflation: a rare enigmatic lung lesion on prenatal ultrasound and magnetic resonance imaging. J Ultrasound Med 2019; 38 (05) 1229-1239
- 7 Man DW, Donell ST, Raafat F, Eckstein HB. Congenital obstructive emphysema of the left lung associated with a mediastinal lymphatic cyst. Thorax 1984; 39 (03) 211-212