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Lupine Publishers

ISSN: 2637-4722

Progressing Aspects in Pediatrics and Neonatology

Case Report(ISSN: 2637-4722)

Angel-Wing Sign-What Goes Up Must Come Down

Volume 1 - Issue 3

Elena Lanvers*, Hannah Henric-Petri and Eckhard Korsch

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    • Kinderkrankenhaus,Amsterdamer, Strasse, Köln, Germany

    *Corresponding author:Elena Lanvers, Kinderkrankenhaus Amsterdamer Strasse, Amsterdamer Straße, Köln, NRW

Received: April 12, 2018;   Published: April 17, 2018

DOI: 10.32474/PAPN.2018.01.000115

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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 CPAPventilation, 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.

Keywords: Pneumomediastinum; Angel-Wing Sign; CPAP-Ventilation; Respiratory Distress Syndrome; X-ray in Neonatology

Abstract| Case Report| Acknowledgement| References|


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