Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress

Spontaneous pneumomediastinum in the absence of predisposing risk factors has been rarely observed in full-term neonates. A 3-day-old neonate, delivered vaginally at term without any perinatal complications or signs of respiratory difficulty, was referred to the Seoul National University Children’s...

Full description

Bibliographic Details
Main Authors: Young June Choe, Eun eun Kim, Ee-Kyung Kim, Han-Suk Kim, Jung-Eun Chun, Woo Sun Kim, In-One Kim, Jung-Hwan Choi
Format: Article
Language:English
Published: Korean Pediatric Society 2010-02-01
Series:Korean Journal of Pediatrics
Online Access:http://www.kjp.or.kr/upload/2010530221-20100339134839.PDF
_version_ 1817969628721184768
author Young June Choe
Eun eun Kim
Ee-Kyung Kim
Han-Suk Kim
Jung-Eun Chun
Woo Sun Kim
In-One Kim
Jung-Hwan Choi
author_facet Young June Choe
Eun eun Kim
Ee-Kyung Kim
Han-Suk Kim
Jung-Eun Chun
Woo Sun Kim
In-One Kim
Jung-Hwan Choi
author_sort Young June Choe
collection DOAJ
description Spontaneous pneumomediastinum in the absence of predisposing risk factors has been rarely observed in full-term neonates. A 3-day-old neonate, delivered vaginally at term without any perinatal complications or signs of respiratory difficulty, was referred to the Seoul National University Children’s Hospital because of reduced heart sound detected during routine neonatal examination. Chest computed tomography (CT) showed air collection in the anterior mediastinum. The baby developed respiratory distress on the fourth day and required supplemental oxygen. On the seventh day, there was no sign of respiratory difficulty, and x-ray examination showed no demonstrable pneumomediastinum. Hence, careful neonatal physical examination is essential during the postnatal assessment of newborns, and spontaneous pneumomediastinum should be considered when a healthy newborn presents with reduced heart sound.
first_indexed 2024-04-13T20:23:40Z
format Article
id doaj.art-302c08f92d344a81a7384279eca93292
institution Directory Open Access Journal
issn 1738-1061
2092-7258
language English
last_indexed 2024-04-13T20:23:40Z
publishDate 2010-02-01
publisher Korean Pediatric Society
record_format Article
series Korean Journal of Pediatrics
spelling doaj.art-302c08f92d344a81a7384279eca932922022-12-22T02:31:26ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582010-02-0153224424710.3345/kjp.2010.53.2.244Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distressYoung June ChoeEun eun KimEe-Kyung KimHan-Suk KimJung-Eun ChunWoo Sun KimIn-One KimJung-Hwan ChoiSpontaneous pneumomediastinum in the absence of predisposing risk factors has been rarely observed in full-term neonates. A 3-day-old neonate, delivered vaginally at term without any perinatal complications or signs of respiratory difficulty, was referred to the Seoul National University Children’s Hospital because of reduced heart sound detected during routine neonatal examination. Chest computed tomography (CT) showed air collection in the anterior mediastinum. The baby developed respiratory distress on the fourth day and required supplemental oxygen. On the seventh day, there was no sign of respiratory difficulty, and x-ray examination showed no demonstrable pneumomediastinum. Hence, careful neonatal physical examination is essential during the postnatal assessment of newborns, and spontaneous pneumomediastinum should be considered when a healthy newborn presents with reduced heart sound.http://www.kjp.or.kr/upload/2010530221-20100339134839.PDF
spellingShingle Young June Choe
Eun eun Kim
Ee-Kyung Kim
Han-Suk Kim
Jung-Eun Chun
Woo Sun Kim
In-One Kim
Jung-Hwan Choi
Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress
Korean Journal of Pediatrics
title Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress
title_full Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress
title_fullStr Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress
title_full_unstemmed Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress
title_short Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress
title_sort decreased heart sound in a healthy newborn spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress
url http://www.kjp.or.kr/upload/2010530221-20100339134839.PDF
work_keys_str_mv AT youngjunechoe decreasedheartsoundinahealthynewbornspontaneousmultiseptatedcysticpneumomediastinumwithdelayedrespiratorydistress
AT euneunkim decreasedheartsoundinahealthynewbornspontaneousmultiseptatedcysticpneumomediastinumwithdelayedrespiratorydistress
AT eekyungkim decreasedheartsoundinahealthynewbornspontaneousmultiseptatedcysticpneumomediastinumwithdelayedrespiratorydistress
AT hansukkim decreasedheartsoundinahealthynewbornspontaneousmultiseptatedcysticpneumomediastinumwithdelayedrespiratorydistress
AT jungeunchun decreasedheartsoundinahealthynewbornspontaneousmultiseptatedcysticpneumomediastinumwithdelayedrespiratorydistress
AT woosunkim decreasedheartsoundinahealthynewbornspontaneousmultiseptatedcysticpneumomediastinumwithdelayedrespiratorydistress
AT inonekim decreasedheartsoundinahealthynewbornspontaneousmultiseptatedcysticpneumomediastinumwithdelayedrespiratorydistress
AT junghwanchoi decreasedheartsoundinahealthynewbornspontaneousmultiseptatedcysticpneumomediastinumwithdelayedrespiratorydistress