Management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance

Pneumatoceles are rare in neonates and most resolve spontaneously. However, pneumatoceles can persist and compromise cardiopulmonary function secondary to mass effect. Intervention aimed at decompressing the air cyst helps alleviate cardiopulmonary compression. We present the case of a 23 6/7 week g...

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Autores principales: Sophia Hameedi, Helen Hu, Chantal Angueyra, Sandra Kabagambe, Vincent Duron, Elvira Parravicini
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Lenguaje:EN
Publicado: Elsevier 2022
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spelling oai:doaj.org-article:6fbb4f0f6b1348e2a616644f2f58c5172021-11-06T04:28:22ZManagement of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance2213-576610.1016/j.epsc.2021.102075https://doaj.org/article/6fbb4f0f6b1348e2a616644f2f58c5172022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621002967https://doaj.org/toc/2213-5766Pneumatoceles are rare in neonates and most resolve spontaneously. However, pneumatoceles can persist and compromise cardiopulmonary function secondary to mass effect. Intervention aimed at decompressing the air cyst helps alleviate cardiopulmonary compression. We present the case of a 23 6/7 week gestation female infant born in the setting of severe maternal preeclampsia who developed respiratory failure associated with a pneumatocele that was successfully treated at the bedside with ultrasound-guided placement of a pigtail catheter. This novel intervention resulted in immediate decompression of the pneumatocele without recurrence which allowed stabilization of the patient for closure of a large patent ductus arteriosus (PDA) with subsequent improvement of her cardiopulmonary function and discharge home. Prior reports have shown successful percutaneous decompression using fluoroscopic guidance, in this report we show an ultrasound guided technique. This approach mitigates the distress associated with fluoroscopic-guided and operative interventions in these patients with compromised cardiopulmonary function. In addition, it eliminates the need for transportation in this fragile patient population.Sophia HameediHelen HuChantal AngueyraSandra KabagambeVincent DuronElvira ParraviciniElsevierarticleUltrasound-guidancePneumatocelePercutaneous pigtail catheterELBWPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102075- (2022)
institution DOAJ
collection DOAJ
language EN
topic Ultrasound-guidance
Pneumatocele
Percutaneous pigtail catheter
ELBW
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle Ultrasound-guidance
Pneumatocele
Percutaneous pigtail catheter
ELBW
Pediatrics
RJ1-570
Surgery
RD1-811
Sophia Hameedi
Helen Hu
Chantal Angueyra
Sandra Kabagambe
Vincent Duron
Elvira Parravicini
Management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance
description Pneumatoceles are rare in neonates and most resolve spontaneously. However, pneumatoceles can persist and compromise cardiopulmonary function secondary to mass effect. Intervention aimed at decompressing the air cyst helps alleviate cardiopulmonary compression. We present the case of a 23 6/7 week gestation female infant born in the setting of severe maternal preeclampsia who developed respiratory failure associated with a pneumatocele that was successfully treated at the bedside with ultrasound-guided placement of a pigtail catheter. This novel intervention resulted in immediate decompression of the pneumatocele without recurrence which allowed stabilization of the patient for closure of a large patent ductus arteriosus (PDA) with subsequent improvement of her cardiopulmonary function and discharge home. Prior reports have shown successful percutaneous decompression using fluoroscopic guidance, in this report we show an ultrasound guided technique. This approach mitigates the distress associated with fluoroscopic-guided and operative interventions in these patients with compromised cardiopulmonary function. In addition, it eliminates the need for transportation in this fragile patient population.
format article
author Sophia Hameedi
Helen Hu
Chantal Angueyra
Sandra Kabagambe
Vincent Duron
Elvira Parravicini
author_facet Sophia Hameedi
Helen Hu
Chantal Angueyra
Sandra Kabagambe
Vincent Duron
Elvira Parravicini
author_sort Sophia Hameedi
title Management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance
title_short Management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance
title_full Management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance
title_fullStr Management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance
title_full_unstemmed Management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance
title_sort management of pneumatocele in an extremely low birth weight neonate with percutaneous pigtail catheter by ultrasound guidance
publisher Elsevier
publishDate 2022
url https://doaj.org/article/6fbb4f0f6b1348e2a616644f2f58c517
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