Arch Dis Child Fetal Neonatal Ed 98:F165 doi:10.1136/fetalneonatal-2012-301695
  • Images in neonatal medicine

Respiratory distress in a preterm baby

  1. Quen Mok
  1. PICU, Great Ormond Street Hospital, London, UK
  1. Correspondence to Simona Turcu, PICU, Great Ormond Street Hospital, London, UK; sfturcu{at}
  • Received 22 January 2012
  • Accepted 19 March 2012
  • Published Online First 6 May 2012

A 30-week preterm baby born by emergency caesarean section because of placenta praevia and antepartum haemorrhage was ventilated from birth and had repeated reintubations. By day 7 ventilation became difficult and on day 12 was transferred to a tertiary centre for escalation of ventilatory support. The transfer diagnosis was sepsis and pulmonary hypertension. Review of the chest x-rays (figures 1 and 2) shows pneumomediastinum not seen on previous …

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