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Watanabe M, Momoi N, Sato M, et al. Percutaneous evacuation of diffuse pulmonary interstitial emphysema by lung puncture in a baby with extremely low birth weight: a case report. J Med Case Rep. 2012;6:325doi: 10.1186/1752-1947-6-325.
Watanabe, M., Momoi, N., Sato, M., Go, H., Imamura, T., Kaneko, M., & Hosoya, M. (2012). Percutaneous evacuation of diffuse pulmonary interstitial emphysema by lung puncture in a baby with extremely low birth weight: a case report. Journal of medical case reports, 6325. https://doi.org/10.1186/1752-1947-6-325
Watanabe, Masahiro, et al. "Percutaneous evacuation of diffuse pulmonary interstitial emphysema by lung puncture in a baby with extremely low birth weight: a case report." Journal of medical case reports vol. 6 (2012): 325. doi: https://doi.org/10.1186/1752-1947-6-325
Watanabe M, Momoi N, Sato M, Go H, Imamura T, Kaneko M, Hosoya M. Percutaneous evacuation of diffuse pulmonary interstitial emphysema by lung puncture in a baby with extremely low birth weight: a case report. J Med Case Rep. 2012 Sep 26;6:325. doi: 10.1186/1752-1947-6-325. PMID: 23013845; PMCID: PMC3492090.
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J Med Case Rep. 2012 Sep 26;6:325. doi: 10.1186/1752-1947-6-325.

Percutaneous evacuation of diffuse pulmonary interstitial emphysema by lung puncture in a baby with extremely low birth weight: a case report.

Journal of medical case reports

Masahiro Watanabe, Nobuo Momoi, Maki Sato, Hayato Go, Takashi Imamura, Masatoshi Kaneko, Mitsuaki Hosoya

Affiliations

  1. Department of Pediatrics, Fukushima Medical University, 1st Hikarigaoka, Fukushima, 960-1295, Japan. [email protected].

PMID: 23013845 PMCID: PMC3492090 DOI: 10.1186/1752-1947-6-325

Abstract

INTRODUCTION: Pulmonary interstitial emphysema is a serious complication of mechanical ventilation and can become life-threatening if progression occurs. Therapeutic lung puncture is a treatment option for severe pulmonary interstitial emphysema but has a limited use in babies with extremely low birth weight. We present a case of pulmonary interstitial emphysema in a Japanese baby (1-day-old) boy with extremely low birth weight. The emphysema was successfully decompressed by therapeutic lung puncture performed with a trocar catheter.

CASE PRESENTATION: The baby was born with a weight of 420g, which, to the best of our knowledge, is the lowest reported birth weight among babies with pulmonary interstitial emphysema. A chest X-ray on postnatal day 2 revealed pulmonary interstitial emphysema, which gradually progressed to diffuse pseudocystic changes. His condition became life-threatening despite the use of high-frequency oscillatory ventilation and lateral decubitus positioning. We evacuated the pulmonary interstitial emphysema by lung puncture with a trocar catheter to avoid respiratory and cardiovascular collapse. This resulted in adequate evacuation of the emphysema and a dramatic improvement in his clinical condition.

CONCLUSIONS: Therapeutic lung puncture performed with a trocar catheter is beneficial in babies with extremely low birth weight and diffuse pulmonary interstitial emphysema. This treatment option may be broadly applicable, especially in an emergency situation.

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