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.