Pneumomediastino espontâneo multiloculado em recém-nascido: Caso clínico
Spontaneous multiloculated pneumomediastinum in a newborn: case report
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A existência de septos internos e a tendência à loculação são particularidades do pneumomediastino neonatal. Os autores apresentam o caso clínico de um recém-nascido de termo, fruto de uma gravidez vigiada, com ecografias fetais normais, nascido de cesariana, sem necessidade de reanimação, que iniciou gemido e sinais de dificuldade respiratória às 2 horas de vida. A radiografia do tórax efectuada em D<span class="elsevierStyleInf">2</span> mostrou imagem de hipertransparência adjacente ao bordo cardíaco esquerdo e retroesternal e hipotransparência do lobo superior esquerdo. A tomografia axial computorizada torácica, realizada em D5, evidenciou pneumomediastino multiloculado com múltiplos septos internos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam este caso pela sua raridade e aspectos imagiológicos específicos</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Spontaneous pneumomediastinum in a term baby without assisted ventilation or known underlying pulmonary disease is uncommon. The authors present a case report of a term baby delivered by caesarean that developed mild respiratory distress after birth. The pulmonary X-ray on day 2 showed an abnormal gas lucency adjacent to the left cardiac border elevating thymic border indicative of pneumomediastinum. Our case demonstrates two unique features of neonatal pneumomediastinum – the presence of multiple internal septae and its tendency to loculate locally.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The authors present this case for its rarity and the specific imagiological aspects.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neonatal spontaneous pneumomediastinum" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:2 [ 0 => "C.J. Chen" 1 => "M.L. 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ISSN: 21735115Original language: Portuguese
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