Abstract:
BACKGROUND:Pneumomediastinum is an uncommon cause of neonatal respiratory distress. Clinical history and examination of the neonate may be uninformative in determining the aetiology of the respiratory distress. Chest x-ray can be diagnostic of pneumomediastinum however is often difficult to interpret. CASE PRESENTATION:A 36 week gestation newborn was delivered by emergency caesarean section, intubated and given intermittent positive pressure ventilation via Neopuff™ for apnoea before being extubated to CPAP. Chest radiography initially showed bilateral upper zone opacities, presenting a diagnostic dilemma; however subsequent films demonstrated a pneumomediastinum which was managed conservatively and resolved. CONCLUSIONS:The "sail sign" describes an uncommon radiological appearance of a pneumomediastinum in neonates and infants. With careful conservative management, a spontaneous resolution without longterm sequelae can be expected.
journal_name
BMC Pediatrjournal_title
BMC pediatricsauthors
Teo SSS,Priyadarshi A,Browning Carmo Kdoi
10.1186/s12887-019-1397-7subject
Has Abstractpub_date
2019-01-31 00:00:00pages
38issue
1issn
1471-2431pii
10.1186/s12887-019-1397-7journal_volume
19pub_type
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