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This appeared to worsen the patient\u2019s clinical condition; hence, a chest drain was inserted with unsatisfactory clinical improvement. In view of the presentation and lack of clinical improvement after chest drain insertion, the case was transferred to the paediatric respiratory team in a tertiary centre where the diagnosis was revised to congenital lobar emphysema based on chest computer tomography findings. She subsequently benefited from a left upper lobectomy and lingulectomy and was discharged home 4\u2009days after surgery.<\/jats:p>","DOI":"10.1136\/bcr-2019-233302","type":"journal-article","created":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T04:25:53Z","timestamp":1582259153000},"page":"e233302","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Iatrogenic pneumothorax in a 4-week-old girl: new diagnosis of congenital lobar emphysema"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5021-6641","authenticated-orcid":false,"given":"Ashley","family":"Reed","sequence":"first","affiliation":[{"name":"Emergency Department, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra Fernandes","family":"Lucas","sequence":"additional","affiliation":[{"name":"Paediatric Department, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Nowacka","sequence":"additional","affiliation":[{"name":"Paediatric Department, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chukwubuike","family":"Eze","sequence":"additional","affiliation":[{"name":"Paediatric Department, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,2,20]]},"reference":[{"key":"2025082710035558000_13.2.e233302.1","unstructured":"Watson T . 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