Computed Tomography Fluoroscopy-guided Transpulmonary Drainage of Pulmonary Abscess in an Extremely Preterm Infant

In this case report, we describe a successful computed tomography fluoroscopy-guided percutaneous transpulmonary drainage of a pulmonary abscess in an extremely preterm infant (weight, 2,081 g). A male infant who was delivered at 25 weeks of gestation developed a primary pulmonary abscess 6 weeks after birth. The abscess was initially treated with antibiotics, which were ineffective, and the abscess enlarged. Computed tomography fluoroscopy-guided transpulmonary drainage was then performed under general anesthesia without breath-holding, and was successful. The drainage procedure was minimally invasive, reducing the size of the abscess, and the infant recovered fully with no recurrence at follow-up. This report is the first to demonstrate the effectiveness of computed tomography fluoroscopy-guided transpulmonary drainage for managing a pulmonary abscess in an extremely preterm infant.