Abstract Archives of the RSNA, 2014
PDE121
Unilateral Persistent Pulmonary Interstitial Emphysema: Value of Multidetecteur Computed Tomography
Education Exhibits
Presented in 2014
Mondher Golli MD, Presenter: Nothing to Disclose
saida hidouri, Abstract Co-Author: Nothing to Disclose
Mezri Maatouk MD, Abstract Co-Author: Nothing to Disclose
Ahmed Zrig MD, Abstract Co-Author: Nothing to Disclose
Walid Mnari MD, Abstract Co-Author: Nothing to Disclose
Badii Hmida, Abstract Co-Author: Nothing to Disclose
Nedal Jazaerli, Abstract Co-Author: Nothing to Disclose
abellatif nouri, Abstract Co-Author: Nothing to Disclose
abdel zakhama, Abstract Co-Author: Nothing to Disclose
Unilateral Persistent pulmonary interstitial emphysema (PPIE) must be differentiated from congenital cystic malformation of the lung (particularly congenital lobar emphysema and cystic adenomatoid malformation) , because in the case of PPIE conservative therapy is recommended prior to lobectomy.
Multi-detector Computed Tomography (MDCT) is helpful in the diagnosis of PPIE and in determining the anatomic
distribution of lobar involvement
Background
Epidemiology
Clinical presentation
Pathology : Macroscopy and histology
Imaging : chest radiograph and MDCT
Treatment and prognosis
Differential diagnosis
Conclusion
PPIE should be considered in premature infants with cystic malformation of the lung with or without respiratory distress. It may or may not be associated with hyaline membrane disease. It can usually be distinguished from congenital cystic malformation of the lung by MDCT.
Chest MDCT is helpful in differentiating PPIE from other lesions, such as congenital cystic adenomatoid malformation or congenital lobar emphysema
Conservative therapy is recommended. Operative
treatment should be considered when the diagnosis is unclear or for progressive respiratory distress, ventilator dependence, or complications such as recurrent pneumonia or recurrent pneumothoraces
http://abstract.rsna.org/uploads/2014/14014382/14014382_c6io.pdf
Golli, M,
hidouri, s,
Maatouk, M,
Zrig, A,
Mnari, W,
Hmida, B,
Jazaerli, N,
nouri, a,
zakhama, a,
Unilateral Persistent Pulmonary Interstitial Emphysema: Value of Multidetecteur Computed Tomography. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14014382.html