A Case of Pulmonary Interstitial Emphysema Treated by Percutaneous Catheter Insertion in Extremely Low Birth Weight Infant.

Abstract

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.

• Authors: Changsin Kim, Jeong Eun Shin, Soon Min Lee, Ho Seon Eun, Min Soo Park, Kook In Park, Ran Namgung, Sungsoo Lee, Choon Sik Yoon
• Journal: Yonsei medical journal (Yonsei Med J) Vol. 57 Issue 6 Pg. 1523-6 (Nov 2016) ISSN: 1976-2437 [Electronic] Korea (South)
• PMID: 27593885 (Publication Type: Case Reports)

Topics

• Catheterization (instrumentation, methods)
• Catheters
• Decompression
• Female
• Humans
• Infant
• Infant, Extremely Low Birth Weight
• Infant, Newborn
• Infant, Premature
• Lung
• Male
• Pneumothorax (complications, therapy)
• Pulmonary Emphysema (diagnosis, etiology, therapy)
• Republic of Korea
• Respiration, Artificial (methods)
• Treatment Outcome