Abstract
A neonate presented for an esophageal atresia repair and developed respiratory distress in the immediate post-operative period. The initial conventional chest radiographs suggested that there was a right sided pneumothorax; however, this did not resolve, even after the placement of two chest tubes. A CT examination suggested that the findings were due to hyper-inflation of the right upper lobe. Thoracoscopy was performed and revealed a complex pneumothorax composed of bubbly mucous from a post-operative pleuro-esophageal fistula.
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References
Donn SM, Martin JN Jr, White SJ (1981) Antenatal ultrasound findings in cystic adenomatoid malformation. Pediatr Radiol 10: 180
Wesenberg RL (1973) The newborn chest, Harper & Row, Hagerstown
Kirks DR (1991) Practical pediatric imaging: diagnostic radiology of infants and children. 2nd ed. Little, Brown and Company, Boston Toronto London, pp 441–443
Griscom NT, Harris GBC, Whol MEB, Vawter GF, Eraklis AJ (1969) Fluid filled lung due to airway obstruction in the newborn. Pediatrics 43: 383
Silverman FN (1993) Caffey's pediatric X-ray diagnosis: an integrated imaging approach. 9th ed. Mosby, St. Louis, pp 2006–2010
Oh KS, Dorst JP, White JJ Haller JA Jr, Johnson BA, Byrne WD (1976) The syndrome of bronchial atresia or stenosis with mocucele and focal hyperinflation of the lungs. Johns Hopkins Med J 138: 48
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McGinnis, H.D., Blickman, J.G. Bubbly intrapleural mucous simulating congenital lobar emphysema. Pediatr Radiol 23, 386–387 (1993). https://doi.org/10.1007/BF02011967
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DOI: https://doi.org/10.1007/BF02011967