Angel-Wing Sign-What Goes Up Must Come Down by Elena Lanvers in PAPN - Lupine Publishers
We report on a spontaneously delivered, female neonate, born in week 35+1 of gestation, weighing 2230g. It was presented pale, hypotonic, without respiratory movement and a heart rate below 100 bpm. Therapeutic treatment started with bag-maskventilation, followed by the installation of a pharyngeal tube and CPAP-ventilation for a total of six hours applying a PEEP of 6 millibar. The X-ray displayeda pneumomediastinum, showing elevation of both thymus lobes in the sense of an angel-wing sign (also known as spinnaker-sail sign) [1-3] (Figure 1). Ending CPAP ventilation, treatment continued vianasal cannula without oxygen supply for one more day, resulting in a stable respiratory status. The radiographic follow-up presented a noticeable regression of the pneumomediastinum (Figures 2 & 3 = 6th day of life; part C = 13th day of life), which made invasive measures redundant - Lupine Publishers
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