Pulmonary interstitial emphysema

Case contributed by Dr Hisham Alwakkaa

Presentation

Premature newborn (born at 25 weeks) on high frequency jet ventilation.

Patient Data

Age: 0 day
Gender: Female
X-ray

Tubes and lines are in satisfactory positions.

There are numerous diffuse bubble-like and linear radiolucencies occupying most of the left lung field. Similar radiolucencies, but less extensive also seen in the right perihilar region and right upper lobe.

Findings are consistent with Pulmonary Interstitial Emphysema.

X-ray

Series of chest and abdominal radiographs:

First one obtained after ET tube placement, central lines and administration of a dose of surfactant.

The others were taken at: 10 ,20, 24 and 36 hours after birth.

Case Discussion

This is a typical case of Pulmonary Interstitial emphysema (PIE) in a premature newborn who is on mechanical ventilation to treat surfactant deficiency. It developed in the first day of life and significantly improved on the 36 hrs image. 

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Case information

rID: 56854
Published: 25th Nov 2017
Last edited: 3rd Oct 2019
Inclusion in quiz mode: Included
Institution: Women and children Hospital of Buffalo

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