CC BY-NC-ND 4.0 · AJP Rep 2019; 09(01): e72-e75
DOI: 10.1055/s-0039-1683862
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Value of Different Radiological Modalities in Assessment of Spontaneous Pneumomediastinum: Case Review and Diagnostic Perspective

Poonam Singh Jariwala
1  Department of Pediatrics, University of Saskatchewan, Saskatoon, Canada
,
Kaarthigeyan Kalaniti
1  Department of Pediatrics, University of Saskatchewan, Saskatoon, Canada
2  Department of Pediatrics, Royal University Hospital, Saskatoon, SK, Canada
,
Neil Wonko
1  Department of Pediatrics, University of Saskatchewan, Saskatoon, Canada
2  Department of Pediatrics, Royal University Hospital, Saskatoon, SK, Canada
,
Sibasis Daspal
1  Department of Pediatrics, University of Saskatchewan, Saskatoon, Canada
2  Department of Pediatrics, Royal University Hospital, Saskatoon, SK, Canada
,
Veronica Mugarab Samedi
1  Department of Pediatrics, University of Saskatchewan, Saskatoon, Canada
2  Department of Pediatrics, Royal University Hospital, Saskatoon, SK, Canada
› Author Affiliations
Further Information

Publication History

29 January 2019

05 February 2018

Publication Date:
07 March 2019 (online)

  

Abstract

Pneumomediastinum (PM), or a mediastinal air leak, is a known morbidity in neonates. Among predisposing factors, the most significant are mixed lung diseases, such as pneumonia or meconium aspiration syndrome, with coexisting atelectasis and airway obstruction. We report an unusual presentation of significant spontaneous pneumomediastinum in a term newborn delivered by elective cesarean section with no history of active resuscitation at birth.

Timely diagnosis of SPM is important for both management and prognosis. We believe that lung ultrasound (LUS) is a promising screening tool for early detection of PM in neonates, and could help avoid unnecessary exposure to radiation in delicate neonates. More simultaneous studies comparing chest X-ray (CXR), LUS, and computed tomography (CT) scans may help to prove the utility value of point-of-care ultrasounds as a primary diagnostic tool in identifying this morbidity.