Nonsurgical management of an enlarging pneumatocele by fibrin sealant injection via pigtail catheter.
Most pneumatoceles disappear spontaneously and do not cause severe symptoms. Treatment alternatives include various conventional or surgical methods. However, an enlarging, complicated pneumatocele with cardiorespiratory instability requires imaging-guided catheter drainage or surgery. Here, we report the case of a newborn girl with an enlarging pneumatocele accompanied by pulmonary interstitial emphysema secondary to mechanical ventilation. The pneumatocele was successfully managed by the injection of fibrin sealant via a pigtail catheter.
Department of Pediatrics, Chonbuk National University Hospital, Jeonju, Korea.
Tae Hyun
TH
Park
Department of Pediatrics, Chonbuk National University Hospital, Jeonju, Korea.
Jin Kyu
JK
Kim
D003560:Cysts; D019468:Disease Management; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D007231:Infant, Newborn; D008171:Lung Diseases; D018700:Pleurodesis / Q000379:methods; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods; D014014:Tissue Adhesives / Q000627:therapeutic use*; D055397:Ventilator-Induced Lung Injury / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives
fibrin tissue adhesive; infant; lung injury