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Am J Perinatol 2002; 19(6): 285-290
DOI: 10.1055/s-2002-34466
DOI: 10.1055/s-2002-34466
CT Imaging of Pulmonary Lobar Interstitial Emphysema in a Spontaneous Breathing Preterm Infant
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Publication History
Publication Date:
01 October 2002 (online)
ABSTRACT
Pulmonary interstitial emphysema (PIE) is a well-recognized severe complication of neonatal respiratory distress syndrome (RDS). However, its occurence under spontaneous breathing conditions has been described rarely. We present a case of PIE of the left upper lung lobe in an extremely low birth weight infant. Recurrent episodes of spontaneous pneumothorax led to the diagnosis, which was confirmed by histopathology. Plain chest X-ray did not show typical signs of PIE, whereas extra-alveolar air accumulation could be visualized by helical computed tomography (CT)-scan. We stress the role of predispositional factors increasing the risk of PIE development in spontaneous breathing preterm infants.
KEYWORDS
Cystic lung disease - preterm infant - neonatal respiratory distress syndrome - pulmonary interstitial emphysema
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