Pediatric Radiology

, Volume 14, Issue 3, pp 142–145 | Cite as

Spontaneous occurrence of localized pulmonary interstitial and endolymphatic emphysema in infancy

  • T. H. Smith
  • G. Currarino
  • J. C. Rutledge


Two infants are described with persistent pulmonary interstitial and endolymphatic emphysema of the localized, bullous type, occurring apparently spontaneously. Roentgenographically, the process simulated congenital lobar emphysema in the first patient and bilateral post-infectious pneumatoceles in the second. The histologic features of the lesion were identical to those seen in localized pulmonary interstitial emphysema caused by positive pressure ventilation in newborns with hyaline membrane disease.


Public Health Histologic Feature Positive Pressure Positive Pressure Ventilation Hyaline Membrane Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Brewer LL, Moskowitz PS, Carrington CB, Bensch KG (1979) Pneumatosis pulmonalis: a complication of the idiopathic respiratory distress syndrome. Am J Pathol 95:171PubMedGoogle Scholar
  2. 2.
    Campbell RE (1970) Intrapulmonary interstitial emphysema: a complication of hyaline membrane disease. AJR 110:449Google Scholar
  3. 3.
    Clarke TA, Edwards DK (1979) Pulmonary pseudocysts in newborn infants with respiratory distress syndrome. AJR 133: 417PubMedGoogle Scholar
  4. 4.
    Leonidas JC, Bhan I, McCauley RGK (1979) Persistent localized pulmonary interstitial emphysema and lymphangiectasia: A causal relationship? Pediatrics 54:165Google Scholar
  5. 5.
    Magilner AD, Capitanio MA, Wertheimer I, Burke H (1974) Persistent localized intrapulmonary interstitial emphysema: An observation in three infants. Radiology 111:379PubMedGoogle Scholar
  6. 6.
    Stocker JT, Madewell JE (1977) Persistent interstitial pulmonary emphysema: another complication of the respiratory distress syndrome. Pediatrics 59:847PubMedGoogle Scholar
  7. 7.
    Thibeault DW, Lachman RS, Laul VR, Kwong MS (1973) Pulmonary interstitial emphysema, pneumomediastinum, and pneumothorax. Am J Dis Child 126:611PubMedGoogle Scholar
  8. 8.
    Wood BP, Anderson VM, Mauk JE, Merritt TA (1982) Pulmonary lymphatic air: Locating “Pulmonary Interstitial Emphysema” of the premature infant. AJR 138:809PubMedGoogle Scholar
  9. 9.
    Zimmermann H (1982) Progressive interstitial pulmonary lobar emphysema. Eur J Pediatr 138:258PubMedGoogle Scholar
  10. 10.
    Allen RP, Taylor RL, Reiquam CW (1966) Congenital lobar emphysema with dilated septal lymphatics. Radiology 86:929PubMedGoogle Scholar
  11. 11.
    Hitch DC, Minor GR, Mitchell AR, Keats TE (1973) Dilated lymphatics in congenital lobar emphysema: Report of a second case. J Thor Cardiov Surg 66:127PubMedGoogle Scholar
  12. 12.
    Stocker JT, Drake RM, Madewell JE (1978) Cystic and congenital lung disease in the newborn. In: Perspectives in pediarric pathology. Rosenberg HS and Bolande RP (eds) Chicago: Year Book Medical Publshers, 4:93Google Scholar
  13. 13.
    Lauweryns JM, Clasessens ST, Boussauw L (1968) The pulmonary lymphatics in neonatal hyaline membrane disease. Pediatrics 41:917PubMedGoogle Scholar
  14. 14.
    Bauer CR, Brennan MJ, Doyle C, Poole CA (1978) Surgical resection for pulmonary interstitial emphysema in the newborn infant. J Ped 93:656Google Scholar
  15. 15.
    Drew JH, Landau LI, Acton CM, Kent M, Campbell PE (1978) Pulmonary interstitial emphysema requiring lobectomy: complication of assisted ventilation. Arch Dis Child 53: 424PubMedGoogle Scholar
  16. 16.
    Fletcher BD, Outerbridge EW, Youssef S, Bolande RP (1974) Pulmonary interstitial emphysema in a newborn infant treated by lobectomy. Pediatrics 54:808PubMedGoogle Scholar
  17. 17.
    Reyes HM, Kagan RJ, Rowlatt UF, Vidyasager D (1980) Pulmonary interstitial emphysema — surgical management: a report of three cases. J Pediatr Surg 15:266PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • T. H. Smith
    • 1
    • 2
    • 3
  • G. Currarino
    • 1
    • 2
    • 3
  • J. C. Rutledge
    • 1
    • 2
    • 3
  1. 1.Department of RadiologyChildren's Medical CenterDallas
  2. 2.Department of PathologyChildren's Medical CenterDallas
  3. 3.University of Texas Southwestern Medical SchoolDallasUSA

Personalised recommendations