Neonatal pneumothorax series

Case contributed by Dr Ian Bickle

Presentation

Newborn. Developed aberrant respiratory parameters.

Patient Data

Age: 2 days
Gender: Female
X-ray

Initial film, but respiratory problems developed.

Nasogastric tube tip below the diaphragm.

Coarse Interstitial opacities in right lung upper zone, hyperlucent middle zone.
Bilateral infrahilar subsegmental atelectasis.

X-ray

The next morning

Hyperlucency of the right hemithorax with mediastinal displacement.

Nasogastric tube tip just in the stomach.  Endotracheal tube.

X-ray

Endotracheal tube and NG tube.

Air in the right pleural space.

X-ray

Endotracheal tube and nasogastric tube,

Right pleural drain.

The right pneumothorax has resolved.

Case Discussion

A series of images in a newborn who developed a pneumothorax, including the use of a horizontal beam lateral view (a.k.a. cross-table lateral) in the diagnosis and management of pneumothorax.

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Case information

rID: 80761
Published: 6th Aug 2020
Last edited: 1st May 2021
Inclusion in quiz mode: Included
Excluded from licensing

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