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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  

Abstract:


Background: Neonatal pneumomediastinum is seen in 2.5 per 1000 live births and 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 report: A newborn girl born at 34 week 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:

Case report, computed-tomography, newborn, respiratory distress, pneumomediastinum, ultrasonography

Affiliation:

Department of Pediatrics, Division of Neonatology, Marmara University Faculty of Medicine, İstanbul, Department of Radiology, Marmara University Faculty of Medicine, Istanbul, Department of Pediatrics, Division of Neonatology, Marmara University Faculty of Medicine, İstanbul, Department of Pediatric Surgery, Marmara University Faculty of Medicine, Istanbul, Department of Pediatrics, Division of Neonatology, Marmara University Faculty of Medicine, İstanbul, Department of Pediatrics, Division of Neonatology, Marmara University Faculty of Medicine, İstanbul, Department of Pediatrics, Division of Neonatology, Marmara University Faculty of Medicine, İstanbul, Department of Pediatrics, Division of Neonatology, Marmara University Faculty of Medicine, İstanbul



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