"Pneumoscalp" after pneumomediastinum in a neonate.
نویسندگان
چکیده
Twin B, weighing 1200 g, was born at 30 weeks gestation to a 17-year-old gravida 2, para 0 mother. Apgar scores were 7 at 1 min and 8 at 5 min. Apnea and bradycardia were treated by endotracheal intubation. Hyaline membrane disease was present clinically and radiographically. Right pneumothorax present on day 1 and left pneumothorax on day 2 were treated by bilateral chest tube placement. A necrotic part of ileum was resected on day 7, and the whole bowel appeared pregangrenous at laparotomy. On day 1 0, crepitus was noted in the neck and over the scalp, but not over the parotid gland or mastoid process. Chest radiography revealed pulmonary interstitial emphysema, pneumomediastinum, and air in the neck with the sternocleidomastoid muscles defined by the surrounding air (fig . 1 A). Skull films revealed extensive accumulation of air under the scalp with significant separation from the outer table at the vertex and laterally (figs. 1 Band 1 C). The resultant tautness and disfigurement led to treatment with a catheter inserted under the scalp attached to constant underwater seal drainage. On day 12, the air leak ceased, and on day 14, crepitus was not present in any site. The peak inspiratory pressure was 25 cm water when the accumulation of air was present under the scalp. The infant was discharged at 3 months of age and at 6 months showed no disfigurement.
منابع مشابه
Neonatal Pneumomediastinum, Spinnaker-Sail Sign: A Case Report and Review of the Literature
Background: Pneumomediastinum (PM) occurring in approximately 0.1% of neonates is an asymptomatic accumulation of free air in the mediastinum. In this paper, we report on a preterm newborn experiencing a significant spontaneous pneumomediastinum subsequent to an uneventful vaginal delivery in the absence of resuscitation maneuvers. Case presentation:A-2560 g-ma...
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ورودعنوان ژورنال:
- AJR. American journal of roentgenology
دوره 142 6 شماره
صفحات -
تاریخ انتشار 1984