{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T22:46:51Z","timestamp":1793400411295,"version":"4.5.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T00:00:00Z","timestamp":1639958400000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pulm Med"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Congenital lobal emphysema (CLE) is a developmental lung abnormality usually diagnosed in the neonatal period and is rarely observed in adults. Adults with CLE are usually asymptomatic and only a small fraction may present with coughing, recurrent pneumonia and respiratory distress. In imaging studies, the most frequently affected lobe of CLE is the left upper lobe, followed by the right middle lobe. However, multilobar involvement with severe mediastinal shift is extremely rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report a case of fatal CLE in a 28-year-old puerpera with postpartum respiratory failure. Chest computed tomography (CT) revealed emphysema of the right upper, middle and lower lobes resulting in adjacent atelectasis. Hyperinflation of the right upper lobe crossed the midline, leading to a deviation of the mediastinal structure to the left hemithorax and severe compression of the left lung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early and timely diagnosis of CLE with routine follow-up is necessary for patients. CLE, especially with multilobar involvement or mediastinal shift, could be life-threatening and should be promptly and aggressively treated to prevent severe complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12890-021-01787-x","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T06:12:19Z","timestamp":1639980739000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Fatal congenital lobar emphysema in a puerpera: a case report and literature review"],"prefix":"10.1186","volume":"21","author":[{"given":"Fanyi","family":"Gan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yushang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Pu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3964-5378","authenticated-orcid":false,"given":"Lunxu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,20]]},"reference":[{"key":"1787_CR1","doi-asserted-by":"publisher","first-page":"921","DOI":"10.2147\/COPD.S170581","volume":"14","author":"OF Demir","year":"2019","unstructured":"Demir OF, Hangul M, Kose M. Congenital lobar emphysema: diagnosis and treatment options. Int J Chron Obstruct Pulmon Dis. 2019;14:921\u20138.","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"issue":"9","key":"1787_CR2","doi-asserted-by":"publisher","first-page":"1347","DOI":"10.1016\/S0022-3468(99)90009-X","volume":"34","author":"I Karnak","year":"1999","unstructured":"Karnak I, Senocak ME, Ciftci AO, B\u00fcy\u00fckpamuk\u00e7u N. Congenital lobar emphysema: diagnostic and therapeutic considerations. J Pediatr Surg. 1999;34(9):1347\u201351.","journal-title":"J Pediatr Surg"},{"issue":"2\u20133","key":"1787_CR3","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1007\/s003830000506","volume":"17","author":"CL Thakral","year":"2001","unstructured":"Thakral CL, Maji DC, Sajwani MJ. Congenital lobar emphysema: experience with 21 cases. 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Ann Thorac Surg. 2017;104(5):e367\u20139.","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"1787_CR6","doi-asserted-by":"publisher","first-page":"250","DOI":"10.4103\/1817-1737.102187","volume":"7","author":"AM Abushahin","year":"2012","unstructured":"Abushahin AM, Tuffaha AS, Khalil NK, Ismeal AM. Bilateral congenital lobar emphysema: a rare cause for respiratory distress in infancy. Ann Thorac Med. 2012;7(4):250\u20132.","journal-title":"Ann Thorac Med"},{"issue":"3","key":"1787_CR7","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1164\/rccm.201602-0289IM","volume":"194","author":"HC Sasieta","year":"2016","unstructured":"Sasieta HC, Nichols FC, Kuzo RS, Boland JM, Utz JP. Congenital lobar emphysema in an adult. 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