title: Decompression of multiple tension pneumatoceles in a child using computed tomography-guided percutaneous catheter placement.
abstract: Pneumatoceles can develop as a complication of pneumonia. Air accumulation inside pneumatoceles can produce a pressure effect on surrounding structures. A 15-month-old girl who developed multiple tension pneumatoceles secondary to infection caused by pneumococcus is reported. The patient experienced severe cardiorespiratory compromise that was unresponsive to conservative treatment with high-frequency oscillatory ventilation. The condition was successfully treated with computed tomography-guided percutaneous catheter placement using a pigtail catheter for decompression. A stepwise approach was adopted for removal of the catheter.
authors.affiliation: Department of Paediatrics and Adolescent Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong. alku1298@hkstar.com
authors.forename: Shu-Wing
authors.initials: SW
authors.lastname: Ku
authors.forename: Tak-Ching
authors.initials: TC
authors.lastname: Yu
authors.forename: Kam-Wai
authors.initials: KW
authors.lastname: Chan
mesh_terms: D002404:Catheterization / Q000379:methods*; D003560:Cysts / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D011018:Pneumonia, Pneumococcal / Q000150:complications*; D014057:Tomography, X-Ray Computed