Login Register Cart 0
Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Case Report

Computed Tomography-guided Percutaneous Drainage of Pneumomediastinum in a Newborn: A Case Report

Author(s): Turkay Rzayev*, Efe Soydemir, Safak Gucyetmez, Gursu Kiyan, Hulya Ozdemir*, Asli Memisoglu, Hulya Bilgen and Eren Ozek

Volume 18, Issue 5, 2022

Published on: 10 January, 2022

Article ID: e070921196242 Pages: 3

DOI: 10.2174/1573405617666210907165737

Price: $65

Abstract

Background: Neonatal pneumomediastinum is seen in 2.5 per 1000 live births and is mostly managed conservatively. An intervention is essential in cases with tension pneumomediastinum. Ultrasonography-guided (USG-guided) relief of pneumomediastinum has been reported in newborns. There are no reported cases of computed tomography-guided (CT-guided) drainage of pneumomediastinum in neonates.

Case Presentation: A newborn girl born at 34 weeks of gestation was intubated due to respiratory distress and received intratracheal surfactant treatment. Pneumomediastinum was detected at the chest X-ray on the 6th postnatal hour. On the second postnatal day, the patient's oxygen needs increased, tachypnea and subcostal retractions recurred, so it was decided to intervene. USG-guided drainage of the pneumomediastinum was attempted twice but was unsuccessful. Percutaneous drainage with CT guidance was performed successfully.

Conclusion: This report aims to emphasize that CT-guided intervention of pneumomediastinum can be an effective alternative in a newborn if USG-guided intervention fails.

Keywords: NICU, computed tomography, newborn, respiratory distress, pneumomediastinum, ultrasonography.

Graphical Abstract

[1]
Hacking D, Stewart M. Images in clinical medicine. Neonatal pneumomediastinum. N Engl J Med 2001; 344(24): 1839.
[http://dx.doi.org/10.1056/NEJM200106143442405] [PMID: 11407345]
[2]
Hauri-Hohl A, Baenziger O, Frey B. Pneumomediastinum in the neonatal and paediatric intensive care unit. Eur J Pediatr 2008; 167(4): 415-8.
[http://dx.doi.org/10.1007/s00431-007-0517-9] [PMID: 17534658]
[3]
Gesundheit B, Preminger A, Harito B, Babyn P, Maayan C, Mei-Zahav M. Pneumomediastinum and subcutaneous emphysema in an 18-month-old child. J Pediatr 2002; 141(1): 116-20.
[http://dx.doi.org/10.1067/mpd.2002.123668] [PMID: 12091861]
[4]
Smith TH, Currarino G, Rutledge JC. Spontaneous occurrence of localized pulmonary interstitial and endolymphatic emphysema in infancy. Pediatr Radiol 1984; 14(3): 142-5.
[http://dx.doi.org/10.1007/BF01002297] [PMID: 6462807]
[5]
Lee CY, Wu CC, Lin CY. Etiologies of spontaneous pneumomediastinum in children of different ages. Pediatr Neonatol 2009; 50(5): 190-5.
[http://dx.doi.org/10.1016/S1875-9572(09)60062-0] [PMID: 19856861]
[6]
Mohamed ISI, Lee YH, Yamout SZ, Fakir S, Reynolds AM. Ultrasound guided percutaneous relief of tension pneumomediastinum in a 1-day-old newborn. Arch Dis Child Fetal Neonatal Ed 2007; 92(6): F458.
[http://dx.doi.org/10.1136/adc.2006.114322] [PMID: 17951551]
[7]
Bhat AP, Pimpalwar A, Dyke Ii PC. Ultrasonography and X-Ray guided drain placement to evacuate a pneumopericardium/pneumomediastinum in a 1-day-old infant. Indian J Radiol Imaging 2019; 29(1): 94-7.
[http://dx.doi.org/10.4103/ijri.IJRI_447_18] [PMID: 31000950]
[8]
Chau HH, Kwok PC, Lai AK, et al. Percutaneous relief of tension pneumomediastinum in a child. Cardiovasc Intervent Radiol 2003; 26(6): 561-3.
[http://dx.doi.org/10.1007/s00270-003-2640-y] [PMID: 15061183]
[9]
Dondelinger RF, Coulon M, Kurdziel JC, Hemmer M. Tension mediastinal emphysema: emergency percutaneous drainage with CT guidance. Eur J Radiol 1992; 15(1): 7-10.
[http://dx.doi.org/10.1016/0720-048X(92)90193-D] [PMID: 1396794]

Rights & Permissions Print Cite
Article Metrics
18
© 2024 Bentham Science Publishers | Privacy Policy