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Updated: Aug 20, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Giant pulmonary bulla causing respiratory compromise in a very low-birthweight infant
Tamao Shinohara1, Yohei Hasebe2, Daisuke Watanabe2
1Department of Neonatology Yamanashi Prefectural Central Hospital Yamanashi Japan.
Insights
Giant pulmonary bulla, a rare condition in premature infants, can cause serious respiratory issues. Chest CT scans aided in the successful surgical treatment of a giant bulla in an infant, highlighting imaging
Area of Science:
- Neonatal respiratory medicine
- Pediatric thoracic surgery
- Medical imaging in pediatrics
Background:
- Acquired cystic lung disease is a known complication in premature infants.
- Pulmonary interstitial emphysema (PIE) is a frequently reported respiratory issue in this population.
Observation:
- A rare case of a giant pulmonary bulla was observed in a premature infant.
- This condition presented as a significant respiratory complication.
Findings:
- Chest computed tomography (CT) proved instrumental in diagnosing and guiding the treatment strategy.
- The infant underwent a successful bullectomy, a surgical procedure to remove the bulla.
Implications:
- This case highlights the utility of advanced imaging like chest CT in managing rare neonatal lung conditions.
- Early and accurate diagnosis through CT can lead to effective surgical intervention and improved outcomes for infants with giant pulmonary bulla.
Abstract:
Acquired cystic lung disease in premature infants is a serious respiratory complication, and pulmonary interstitial emphysema (PIE) has been widely reported. We report a rare case of giant pulmonary bulla in an infant treated with bullectomy where chest computed tomography was useful in directing treatment.
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