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Congenital lobar over inflation: A diagnostic challenge

Congenital lobar over inflation is a rare congenital malformation of the lung characterized by over inflation of a lobe of the lung due to partial obstruction of the bronchus resulting in compression of normal lung tissue. We are describing two cases of Congenital Lobar over inflation (CLO) which presented in early infancy with severe respiratory distress. One of the cases was initially misdiagnosed as Pneumothorax and CLO were thought of only after chest tube insertion failed to provide any relief in respiratory distress. Both the cases were subsequently managed surgically with lobectomy followed by an uneventful recovery.

Author(s): Swarnim S, Divya Mishra, Brajesh Kumar Rai