Respiratory distress syndrome

Case contributed by Dr Shailaja Muniraju

Presentation

Twin pregnancy with oligohydraminos. Preterm and lowbirth weight newborns of 33 weeks gestational age.

Patient Data

Age: newborn
Gender: Male
X-ray

Twin 1

The bilateral lung fields show changes of hypoaeration with symmetrical diffuse reticular opacities, suggestive of respiratory distress or surfactant deficiency.  

Tip of naso-gastric tube is seen in the stomach shadow.

X-ray

Twin 2

The bilateral lung fields show changes of hypoaeration with symmetrical diffuse reticular opacities, suggestive of respiratory distress or surfactant deficiency.  

Tip of naso-gastric tube is seen in the stomach shadow.

Case Discussion

This is a case of respiratory distress syndrome in twin infants.

Initial radiographs is of low volume appearance due to alveolar atelectasis (secondary to surfactant deficiency). Later air bronchograms can be seen.

The radiologist must be aware that :

1. post intubation the lung fields appear hyper-inflated and complications such as pulmonary haemorrhage or pneumothorax can occur. 

2. when surfactant is administered via endotracheal tube, the opacities appaear quite assymetric and non homogenous.

 

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Case information

rID: 50267
Case created: 28th Dec 2016
Last edited: 1st Jan 2017
System: Paediatrics
Inclusion in quiz mode: Included

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