Iatrogenic Pneumopericardium in a Male Full-Term Newborn with Spontaneous Pneumothorax

Abstract Neonatal pneumopericardium, a collection of air in the pericardial sac, is less common form leak syndrome, but unfortunately with high mortality rate. We report rare case male fullterm newborn who soon after birth presented respiratory distress. Chest radiograph showed spontaneous bilateral pneumothorax which chest drain was placed between anterior and midaxillary line 5 th right intercostal space. The infant tachypnea, dyspnea, muffled heart sounds, acidosis indicating cardiorespiratory worsening. On ‘’Halo” sign appeared pneumopericardium. believe that reposition damaged sac combined ventilation mechanism (‘’Macklin effect”) most likely led to After partial extraction signs improvement, had be closely monitored due risk tension Careful thoracal placement fixation crucial prevent iatrogenic can lead deadly