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European J Pediatr Surg Rep. 2015; 03(02): 068-070
DOI: 10.1055/s-0035-1552558
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Conservative Treatment of Lung Perforation Secondary to Retained Catheter in an Extremely Low-Birth-Weight Premature Infant

Mehmet Surhan Arda
1   Department of Pediatric Surgery, Eskisehir Osmangazi University Medical School, Eskisehir, Turkey
,
Miller C. Hamrick
2   Department of Pediatric Surgery, Children's National Medical Center, Washington, District of Columbia, United States
,
Timothy D. Kane
2   Department of Pediatric Surgery, Children's National Medical Center, Washington, District of Columbia, United States
› Author Affiliations
Further Information

Publication History

22 February 2015

30 March 2015

Publication Date:
26 June 2015 (online)

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Abstract

Airway injury may occur during the use of any instrumentation in premature infants. A surgical approach for the treatment of lung perforation in extremely low-birth-weight infants has been recommended in the past. Here, we present a case of lung perforation in an ex–28-week, 730-g premature infant, who sustained lung perforation, secondary to an 8-Fr suction catheter used to administer surfactant, in which the broken catheter was retained in the airway. Following removal of catheter by endoscopy, tension pneumothorax had occurred. Attempts were made to treat the patient with single chest tube, unfortunately as it was not efficacious, the second one was placed on the ipsilateral side of hemithorax and the patient recovered without further surgery.

Keywords

lung perforation - tension pneumothorax - treatment - premature
 

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