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Images in neonatal medicine
An unexpected cause of stridor in a newborn
  1. Oddvar Uleberg1,2,
  2. Bjørn Myklebust3,
  3. Jana Rydland4,
  4. Ragnhild Støen5,6
  1. 1 Department of Emergency Medicine and Pre-hospital Services, St Olav's University Hospital, Trondheim, Norway
  2. 2 Department of Circulation and Medical Imaging, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
  3. 3 Department of Paediatrics, Levanger County Hospital, Levanger, Norway
  4. 4 Department of Diagnostic Imaging, St Olav's University Hospital, Trondheim, Norway
  5. 5 Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
  6. 6 Department of Paediatrics, St Olav's University Hospital, Trondheim, Norway
  1. Correspondence to Dr Oddvar Uleberg, Department of Emergency medicine and Pre-hospital services, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology (NTNU), Norway, St. Olav's University Hospital/AHL, Prinsesse Kristinas gate, Trondheim N-7006, Norway; oddvar.uleberg{at}stolav.no

https://doi.org/10.1136/archdischild-2015-308529

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    Case report

    A non-dysmorphic term boy presented with inspiratory stridor shortly following delivery. Following clinical examination and thoracic x-ray, no external features or other clinical findings revealed any obvious explanation. Laryngomalacia was suspected. A combined rhinopharyngo—oropharyngo—and laryngoscopy revealed a cystic mass stretching from nasopharynx, to oropharynx and distally beyond the postcricoid structures, filling out 2/3 of the oropharyngeal space. The neck mass increased in size and became externally …

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    Footnotes

    • Twitter Follow Oddvar Uleberg at @uleodd

    • Contributors OU and RS contributed to acquisition of case details. OU wrote the first draft of the manuscript. JR supplied the diagnostic images. OU, BM, JR and RS revised the manuscript. All authors have given final approval of this version to be published.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.