Sail sign in neonatal pneumomediastinum: a case report.

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 Pediatr

journal_title

BMC pediatrics

authors

Teo SSS,Priyadarshi A,Browning Carmo K

doi

10.1186/s12887-019-1397-7

subject

Has Abstract

pub_date

2019-01-31 00:00:00

pages

38

issue

1

issn

1471-2431

pii

10.1186/s12887-019-1397-7

journal_volume

19

pub_type

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