Respiratory distress syndrome with pneumothorax

Case contributed by Fadi Ali
Diagnosis certain

Presentation

Premature baby presented with respiratory distress

Patient Data

Age: 1 day
Gender: Male

Reduced lung volumes with diffuse granularity. The ossification centers of both humeral heads are not visualized suggesting prematurity. 

follow up after 1 day

x-ray

Interval development of left-sided pneumothorax. 
NG tube is seen in an appropriate position
UVC tip at the inferior cavoatrial junction.

Case Discussion

RDS is the result of surfactant deficiency that occurs in preterm neonates. The development of pneumothorax in patients with RDS almost always follows positive pressure ventilation.

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