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American Academy of Pediatrics
Visual Diagnosis

Upper Gastrointestinal Tract Mass and Respiratory Failure in a Newborn

Hassan Ibrahim, Ahmad Abo Kayass, Hilary Tice and Guillermo Sangster
NeoReviews December 2006, 7 (12) e637-e640; DOI: https://doi.org/10.1542/neo.7-12-e637
Hassan Ibrahim
Department of Pediatrics and Department of Radiology, Louisiana State University Health Science Center-Shreveport, Shreveport, La.
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Ahmad Abo Kayass
Department of Pediatrics and Department of Radiology, Louisiana State University Health Science Center-Shreveport, Shreveport, La.
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Hilary Tice
Department of Pediatrics and Department of Radiology, Louisiana State University Health Science Center-Shreveport, Shreveport, La.
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Guillermo Sangster
Department of Pediatrics and Department of Radiology, Louisiana State University Health Science Center-Shreveport, Shreveport, La.
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The Case:

Upper gastrointestinal tract mass and respiratory failure in a newborn

Prenatal History:

  • A 20-year-old primigravida female who has chronic hypertension, oligohydramnios, and maternal class B diabetes

  • Nonreactive rapid plasma reagin, negative hepatitis B surface antigen, and presence of rubella antibodies; culture for group B Streptococcus (GBS) not performed

Birth History and Presentation:

  • Infant delivered via cesarean section at 29 weeks’ gestation, weighing 1,030 g

  • Apgar scores of 6 and 8 at 1 and 5 minutes, respectively; infant required oxygen and positive pressure ventilation in the delivery room and oral suction

  • The patient was started on nasal continuous positive airway pressure in the neonatal intensive care unit at 7 cm H2O and 27% Fio2, with placement of a nasogastric tube and received antibiotics because of prematurity, respiratory distress, and unknown maternal GBS status

  • Three hours after birth, the baby’s respiratory condition deteriorated, necessitating intubation and placement on a conventional ventilator

  • The baby’s respiratory condition worsened on the second postnatal day, and chest radiography revealed an abnormal air-filled structure in the superior mediastinum (see Fig. 1)

Fig 1.

Case Progression:

The infant was switched to high-frequency jet ventilation on postnatal day three. Her respiratory condition improved, …

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NeoReviews
Vol. 7, Issue 12
1 Dec 2006
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Upper Gastrointestinal Tract Mass and Respiratory Failure in a Newborn
Hassan Ibrahim, Ahmad Abo Kayass, Hilary Tice, Guillermo Sangster
NeoReviews Dec 2006, 7 (12) e637-e640; DOI: 10.1542/neo.7-12-e637

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Upper Gastrointestinal Tract Mass and Respiratory Failure in a Newborn
Hassan Ibrahim, Ahmad Abo Kayass, Hilary Tice, Guillermo Sangster
NeoReviews Dec 2006, 7 (12) e637-e640; DOI: 10.1542/neo.7-12-e637
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  • Neck Mass in a Full-term Infant with Hypoxic-Ischemic Encephalopathy
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  • Sudden Onset of a Unilateral Erythematous Preauricular Mass in a Preterm Infant
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