Affiliations: Department of Pediatrics and Communicable Diseases,
University of Michigan, MI, USA | Department of Pathology, University of Michigan, MI,
USA | Department of Radiology, University of Michigan, MI,
USA
Note: [] Corresponding author: Mohammad A. Attar, M.D., F5790 Mott
Hospital, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0254, USA. Tel.: +1
734 763 4109; Fax: +1 734 763 2278; E-mail: mattar@umich.edu
Abstract: We describe the case of an infant born prematurely at 32 weeks, who
had mild respiratory distress syndrome and required brief support with
mechanical ventilation. He was breathing room air by day six. At two weeks of
age, he had worsening respiratory distress and pneumothorax. The infant had
persistent hyperinflation and cystic changes in left lung along with clinical
respiratory distress. He recovered quickly following a left lobectomy on day
40. Histo-pathologic evaluation of the resected tissue was compatible with
pulmonary lymphangiectasia. We also discuss the clinical and histopathological
limitations in distinguishing unilobar lymphangiectasia from persistent
interstitial emphysema.
