Presentation
Premature neonate, presented with shortness of breath
Patient Data
Age: 10 days
Gender: Female
From the case:
Bilateral neonatal pneumothoraces
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Massive non-traumatic bilateral pneumothorax is noted.
The bilateral pneumothorax balance each other and prevent mediastinal shift.
Bilateral deep sulcus sign also noted.
Case Discussion
Management of pneumothorax depends on the amount and clinical picture as follows:
- asymptomatic small rim pneumothorax: no treatment with follow-up radiology to confirm resolution
- pneumothorax with mild symptoms (no underlying lung condition): needle aspiration in the first instance
- pneumothorax in a patient with background chronic lung disease or significant symptoms: intercostal drain insertion (small drain using the Seldinger technique)
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