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Unusual presentations of lung lesions in children: difficult to diagnose case series

Egyptian Journal of Bronchology volume 10, pages 212–222 (2016)Cite this article

Abstract

We present five cases of unusual and rare presentations of different congenital/acquired lung lesions. These cases were encountered during our daily practice. They were misdiagnosed initially and received wrong treatment. There were challenges encountered during the diagnosis and the management of these patients, which required different modalities, ranging from chest radiography, computed tomography to surgical exploration and biopsy, to reach the final diagnosis. These cases range from one absent lung, bilateral intralobar pulmonary sequestrations, bronchogenic cyst, congenital right diaphragmatic hernia to cystic hydatidosis (hydatid cyst). There should be a high index of suspicion when the patient has an abnormal/atypical presentation, a prolonged course of the disease or abnormal imaging. Healthcare providers should also think of rare chest diseases and refer such patients to a paediatric specialist (pulmonologist) to help in the final diagnosis and specific management, which may require invasive procedures or specific imaging.

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Authors and Affiliations

  1. Department of Pediatric, Mansoura University Children’s Hospital, Mansoura, Al-Mansoura, 35516, Egypt

    Shaimaa Kandil MD (Lecturer of Pediatrics), Rasha H. Hassan & Ashraf Fouda

  2. Department of Allergy, Clinical Immunology and Respiratory Medicine Unit, Faculty of Medicine, Mansoura University, Mansoura, Egypt

    Magdy Zedan

Authors
  1. Shaimaa Kandil MD
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  2. Rasha H. Hassan
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  3. Ashraf Fouda
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  4. Magdy Zedan
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Correspondence to Shaimaa Kandil MD.

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Kandil, S., Hassan, R.H., Fouda, A. et al. Unusual presentations of lung lesions in children: difficult to diagnose case series. Egypt J Bronchol 10, 212–222 (2016). https://doi.org/10.4103/1687-8426.193644

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