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Year : 2022  |  Volume : 11  |  Issue : 1  |  Page : 61-63

Recurrent, persistent pneumothorax in a neonate: A cryptic cause

1 Department of Pediatric Surgery, St. John's Medical College Hospital, Bengaluru, Karnataka, India
2 Department of Pathology, St. John's Medical College, Bengaluru, Karnataka, India
3 Department of Neonatology, St. John's Medical College Hospital, Bengaluru, Karnataka, India

Correspondence Address:
A M Shubha
Department of Pediatric Surgery, St John's Medical College Hospital, Bengaluru - 560 034, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcn.jcn_133_21

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Newborns, especially preterms, have a higher risk of developing pneumothorax. We report a 33-week preemie who presented with recurrent, persistent right pneumothorax, which failed to resolve with standard treatment. The child underwent surgical removal of a suspect nonexpanding upper lobe of the right lung with clinical improvement. Histopathology was atypical but nearly consistent with congenital pulmonary airway malformation (CPAM). This report highlights the clinicopathological discordance noted and aims to draw an embryological explanation toward the atypical histomorphology of CPAM in preemies.

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