Percutaneous relief of tension pneumomediastinum in a child.
The purpose of this article was to describe the experience of relieving tension pneumomediastinum by a fluoroscopic-guided percutaneous method. We inserted a percutaneous drainage catheter with a Heimlich valve under fluoroscopic guidance to relieve the tension pneumomediastinum in a 2-year-old girl who suffered from dermatomyositis with lung involvement. This allowed immediate relief without the need for surgery. The procedure was repeated for relapsed tension pneumomediastinum. Good immediate results were achieved in each attempt. We conclude that percutaneous relief of pneumomediastinum under fluoroscopic guidance can be performed safely and rapidly in patients not fit for surgery.
Chau
Helen Hoi-lun
HH
Department of Radiology and Imaging, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong.
Kwok
Philip Chong-hei
PC
Lai
Albert Kwok-hung
AK
Fan
Tsz Wo
TW
Chan
Susan Chi-hum
SC
Miu
Ting Yat
TY
Chan
Grace Lai-har
GL
D002675:Child, Preschool; D004322:Drainage / Q000295:instrumentation / Q000379:methods; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome