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

Rzayev T., SOYDEMİR E., Gucyetmez S., KIYAN G., ÖZDEMİR H., MEMİŞOĞLU A., ...Daha Fazla

CURRENT MEDICAL IMAGING, cilt.18, sa.5, ss.583-585, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 5
  • Basım Tarihi: 2022
  • Doi Numarası: 10.2174/1573405617666210907165737
  • Dergi Adı: CURRENT MEDICAL IMAGING
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.583-585
  • Anahtar Kelimeler: NICU, computed tomography, newborn, respiratory distress, pneumomediastinum, ultrasonography, EMPHYSEMA
  • Marmara Üniversitesi Adresli: Evet

Özet

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 6(th) 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.