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Right main stem intubation, with consequent pulmonary interstitial emphysema complicated by tension pneumothorax

Patterson RAP - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Right main stem intubation, with consequent pulmonary interstitial emphysema complicated by tension pneumothorax

History: Premature infant delivered at 27 weeks gestation. Pregnancy complicated by PPROM and placenta previa. Child delivered due to increased maternal bleeding

Findings: 1. Right main stem intubation and collapse of left lung. Lucencies in lateral right lung field consistent with hyperinflation or pulmonary interstitial emphysema. 2. Correct placement of ET tube. Right-sided tension pneumothorax. Left lung field has opacities consistent with atelectasis. 3. Right pleural drainage tube placed with reexpansion of right lung (note linear lucencies in right base); Umbilical venous and arterial lines placed.

Ddx: Neonatal RDS, Infection (pneumonia), Tracheal esophageal fistula, Congenital malformation (diaphragmatic hernia) or hypoplastic lungs.

Dxhow: Radiographic findings

Exam: 1-day-old male in respiratory distress and labored breathing. Crackles heard bilaterally

No MeSH data available.


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Right main stem intubation, with consequent pulmonary interstitial emphysema complicated by tension pneumothorax

Patterson RAP - MedPix (2005)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2526&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Right main stem intubation, with consequent pulmonary interstitial emphysema complicated by tension pneumothorax

History: Premature infant delivered at 27 weeks gestation. Pregnancy complicated by PPROM and placenta previa. Child delivered due to increased maternal bleeding

Findings: 1. Right main stem intubation and collapse of left lung. Lucencies in lateral right lung field consistent with hyperinflation or pulmonary interstitial emphysema. 2. Correct placement of ET tube. Right-sided tension pneumothorax. Left lung field has opacities consistent with atelectasis. 3. Right pleural drainage tube placed with reexpansion of right lung (note linear lucencies in right base); Umbilical venous and arterial lines placed.

Ddx: Neonatal RDS, Infection (pneumonia), Tracheal esophageal fistula, Congenital malformation (diaphragmatic hernia) or hypoplastic lungs.

Dxhow: Radiographic findings

Exam: 1-day-old male in respiratory distress and labored breathing. Crackles heard bilaterally

No MeSH data available.