Introduction:
Pneumatoceles result from air leaking into damaged lung parenchyma and
are a known complication of positive pressure mechanical ventilation in
neonates. The use of surfactant and modern ventilation techniques have
led to a decreased incidence.1 While most resolve
spontaneously, persistent pneumatoceles are associateFgured with higher
mortality.2 Therapeutic interventions, such as lateral
decubitus positioning, unilateral lung intubation, and ultrasound guided
percutaneous drainage, have been reported.3 However,
there is sparse literature regarding the emergent treatment of
pneumatoceles in rapidly decompensating neonates. We present a novel
management of a complicated pneumatocele by emergent insertion of a
Fogarty catheter.