Abstract
Background: Neonatal pneumomediastinum is seen in 2.5 per 1000 live births and is 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 Presentation: A newborn girl born at 34 weeks 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: NICU, computed tomography, newborn, respiratory distress, pneumomediastinum, ultrasonography.
Graphical Abstract
[http://dx.doi.org/10.1056/NEJM200106143442405] [PMID: 11407345]
[http://dx.doi.org/10.1007/s00431-007-0517-9] [PMID: 17534658]
[http://dx.doi.org/10.1067/mpd.2002.123668] [PMID: 12091861]
[http://dx.doi.org/10.1007/BF01002297] [PMID: 6462807]
[http://dx.doi.org/10.1016/S1875-9572(09)60062-0] [PMID: 19856861]
[http://dx.doi.org/10.1136/adc.2006.114322] [PMID: 17951551]
[http://dx.doi.org/10.4103/ijri.IJRI_447_18] [PMID: 31000950]
[http://dx.doi.org/10.1007/s00270-003-2640-y] [PMID: 15061183]
[http://dx.doi.org/10.1016/0720-048X(92)90193-D] [PMID: 1396794]
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