Related Experiment Video
Updated: Jun 27, 2025
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Percutaneous Drainage for Giant Pulmonary Interstitial Emphysema in a Tiny Infant with a Birth Weight of 327 g
Yuta Hoshina1, Ryo Ogawa1,2, Arata Oda1,2
1Division of Neonatology, Nagano Children's Hospital, Azumino, Nagano, Japan.
Insights
Giant pulmonary cysts in extremely low birth weight (ELBW) infants can be treated with percutaneous drainage. This minimally invasive procedure offers a safe and effective option for refractory cases, improving infant outcomes.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Interventional Procedures
Background:
- Giant pulmonary cysts pose a significant challenge in extremely low birth weight (ELBW) infants, often requiring advanced respiratory support.
- Established definitive therapies for refractory cases of giant pulmonary cysts in ELBW infants are lacking.
Observation:
- A case of a female ELBW infant (birth weight 327g) who developed a right giant pulmonary cyst on day 9 of life.
- Despite conservative management including positioning, high-frequency oscillatory ventilation, and corticosteroids, the cyst progressed to 34mm with mediastinal displacement by day 28.
- The infant required intervention due to the cyst's size and impact on mediastinal structures.
Findings:
- Percutaneous drainage with mild sedation was successfully employed to treat the giant pulmonary cyst.
- The procedure involved continuous suction at -10 cm H2O for 3 days.
- The infant showed complete recovery without any reported adverse events post-procedure.
Implications:
- Percutaneous drainage represents a viable and safe therapeutic option for managing giant pulmonary cysts in ELBW infants.
- This approach may be particularly beneficial in refractory cases where conservative treatments have proven ineffective.
- Further research into percutaneous drainage for neonatal pulmonary conditions is warranted to establish its role in clinical practice.
Abstract:
Giant pulmonary cyst in extremely low birth weight (ELBW) infants has been described as one of severe pulmonary diseases. Any definitive therapy for refractory cases, where conservative methods of treatments are not effective, has not been established as a standard. Herein, we report an ELBW infant with a giant pulmonary cyst cured by percutaneous drainage without any adverse events. A female infant was born with a birth weight of 327 g. Surfactant was administered on days 1 and 2 of life to treat respiratory distress syndrome. Tracheal intubation was performed and synchronized intermittent mandatory ventilation was promptly initiated following birth. On the course, right giant pulmonary cyst developed on day 9 after birth. Although we started conservative therapy, including right lateral decubitus positioning, high-frequency oscillatory ventilation, and systemic corticosteroid administration, the diameter of the cyst had reached 34 mm, and mediastinal displacement was observed on day 28 after birth when she weighed 393 g. She recovered by percutaneous drainage followed by suction with a pressure of -10 cm H 2 O under mild sedation for 3 days. We believe that percutaneous drainage can be one of the available options for unilateral pulmonary interstitial emphysema.
More Related Videos
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
04:21A Minimally Invasive Method for Intratracheal Instillation of Drugs in Neonatal Rodents to Treat Lung Disease
Published on: August 4, 2021
Related Concept Videos
01:26Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:27Pneumothorax-II
Clinical Manifestations: