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KMID : 0191120010160020225
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Journal of Korean Medical Science
2001 Volume.16 No. 2 p.225 ~ p.228
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A Case of Localized Persistent Interstitial Pulmonary Emphysema
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Mee-Hye Oh
Mi-Young Kim/Woo Sup Shim/Sam Se Oh/Bong Kyoung Shin/Seong Jin Cho/Han Kyeom Kim
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Abstract
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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.
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