A Case of Pulmonary Interstitial Emphysema Treated by Percutaneous Catheter Insertion in Extremely Low Birth Weight Infant.
The pulmonary interstitial emphysema (PIE) is a life-threatening illness in premature infants with mechanical ventilation. While most are managed conservatively, decompression would be necessary. Here, we report the first case of PIE treated by percutaneous catheter insertion in an extremely low birth weight (ELBW) infant in Korea. The patient, born with 660 g in 23+2 weeks of gestation, showed PIE in left lower lung on postnatal day 12. Percutaneous catheter insertion was performed on postnatal day 25. The size of PIE decreased, but didn't disappear completely. On postnatal day 42, we exchanged catheter and inserted additional catheter in pleural space. However, sudden desaturation and pneumothorax occurred on postnatal day 44. We changed catheter in pleural space, and pneumothorax and PIE improved. Finally, we successfully removed catheters, and weaned patient out. As in our case, percutaneous catheter insertion would be a useful option for ELBW infants with PIE.
Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
Changsin
C
Kim
Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
Jeong Eun
JE
Shin
Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea. smlee@yuhs.ac.
Soon Min
SM
Lee
Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
Ho Seon
HS
Eun
Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
Min Soo
MS
Park
Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
Kook In
KI
Park
Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
Ran
R
Namgung
Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea.
Sungsoo
S
Lee
Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea.
Choon Sik
CS
Yoon
D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D057785:Catheters; D003664:Decompression; D005260:Female; D006801:Humans; D007223:Infant; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D008168:Lung; D008297:Male; D011030:Pneumothorax / Q000150:complications* / Q000628:therapy; D011656:Pulmonary Emphysema / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D056910:Republic of Korea; D012121:Respiration, Artificial / Q000379:methods; D016896:Treatment Outcome
Pulmonary emphysema; catheters, indwelling; extremely low birth weight infant; premature infant