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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

Multi-lobulated cervical pneumatocoele communicating with pyopneumothorax and bronchopleural fistula

Neeraj N Mathur1, Sandeep Kumar, Rajendra Bothra

  • 1Department of ENT, Lady Hardinge Medical College and Associated Smt. SK and KS Children's Hospital, New Delhi, India. nnm@vsnl.com

International Journal of Pediatric Otorhinolaryngology
|November 10, 2004
PubMed

Insights

Cervical herniation of lung in infants is rare and can be mistaken for other conditions. This case highlights an infant diagnosed with an apical pneumatocoele, a lung herniation in the neck, connected to a pyopneumothorax.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Neonatal Medicine

Background:

  • Cervical lung herniation is an exceptionally rare congenital anomaly.
  • It often presents diagnostic challenges in neonates, mimicking other neck masses.

Observation:

  • An infant presented with a neck swelling.
  • The swelling initially resembled an external laryngocoele.

Findings:

  • The infant was diagnosed with an apical pneumatocoele, a herniation of lung apex into the neck.
  • This condition was found to be communicating with a pyopneumothorax, a collection of pus and air in the pleural space.

Implications:

  • Accurate diagnosis of cervical lung herniation is crucial for appropriate management.
  • This case underscores the importance of considering rare diagnoses in neonatal neck swellings.
  • Early recognition and surgical intervention are key for favorable outcomes in pediatric thoracic emergencies.

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