title: Thoracoscopic treatment of a neonatal traumatic pneumatocele.
abstract: Traumatic pneumatoceles appear rarely after pulmonary parenchymal or bronchial disruption. Treatment is usually expectant with intervention reserved for complications, such as infection, expansion, or cardiopulmonary deterioration. A 17-day-old female was transferred to our NICU with a left-sided pneumatocele resulting from an intraparenchymal chest tube insertion. She was born at 30 weeks gestation and required a chest tube insertion for severe hydrops fetalis with respiratory failure and associated chylothoraces. An acute deterioration following several weeks of clinical improvement was unsuccessfully treated with radiologically guided drainage. In this paper, we describe the thoracoscopic management of this case.
authors.affiliation: Division of Paediatric Surgery, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
authors.forename: Carl-Christian
authors.initials: CC
authors.lastname: Jackson
authors.forename: Marcos
authors.initials: M
authors.lastname: Bettolli
authors.forename: Claudio
authors.initials: C
authors.lastname: De Carli
authors.forename: Steven
authors.initials: S
authors.lastname: Rubin
authors.forename: Brian
authors.initials: B
authors.lastname: Sweeney
mesh_terms: D015505:Chest Tubes / Q000009:adverse effects*; D003560:Cysts / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008171:Lung Diseases / Q000209:etiology* / Q000628:therapy*; D013906:Thoracoscopy