J Korean Med Sci.  2001 Apr;16(2):225-228. 10.3346/jkms.2001.16.2.225.

A case of localized persistent interstitial pulmonary emphysema

• Oh MH
• Kim MY
• Shim WS
• Oh SS
• Shin BK
• Cho SJ
• Kim HK

• KMID: 648262
• DOI: http://doi.org/10.3346/jkms.2001.16.2.225

Abstract

Interstitial pulmonary emphysema is a well-documented complication of assisted mechanical ventilation in premature infants with respiratory distress syndrome. Localized persistent interstitial pulmonary emphysema (LPIPE) confined to a single lobe was incidentally presented in a 4-day-old female infant. This patient was a normal full-term baby with no respiratory distress symptom and no experience of assisted mechanical ventilation. Chest radiograph showed radiolucent area in right lower lobe zone, which needed differential diagnosis from other congenital lesions such as congenital cystic adenomatoid malformation and congenital lobar emphysema. CT scan showed irregular-shaped air cystic spaces and pathologically, cystic walls primarily consisted of compressed lung parenchyma and loose connective tissue intermittently lined by multinucleated foreign body giant cells.

Keyword

Emphysema; Pulmonary Emphysema, Interstitial; Localized Persistent Interstitial Pulmonary Emphysema; Cystic Lung Disease; Lung Disease

MeSH Terms

Diagnosis, Differential
Female
Human
Infant, Newborn
Infant, Newborn, Diseases/*pathology/radiography
Pulmonary Emphysema/*pathology/radiography