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June 1964

Congenital Pulmonary Air CystsSuccessful Segmental Resection in 50-Day Old Infant

Arch Surg. 1964;88(6):923-926. doi:10.1001/archsurg.1964.01310240019006

The pathogenesis of pneumatoceles in infants is controversial. The majority of the pneumatoceles are secondary to staphylococcic pneumonia and regress spontaneously.2,3,8 A smaller number of pneumatoceles develop on a congenital basis and usually require resection.1,4,5,6,7,8

This report concerns an infant who underwent a successful resection of congenital pulmonary cysts, which were confined to one segment of the left lower lobe. To our knowledge, a successful segmentectomy for pulmonary air cysts done as early as the 50th day of life has not been reported.

Case Report  A male infant, product of an eight month pregnancy, was admitted at the age of 12 hours to the American University Hospital. On physical examination his weight was 2.34 kg (5.1 lb) and rectal temperature was 34.5 C (94.1 F). His respiration was labored, and he was slightly cyanotic. Moist rales were heard over the posterior part of the left upper side of