What Could This Thoracic Mass Be?

A 33-year-old gravida III (para 1, abortion 1, living 1) woman with poor antenatal care delivered a male infant by spontaneous vaginal delivery. The newborn had a live, beating heart protruding through an anterior chest wall defect [Figure 1 and 2]. The baby was noted to be cyanosed with a post-ductal saturation of 70–75% at 30 minutes of life. No other midline defects were identified. Referral to a tertiary facility was immediately arranged for further workup and management. Although vigorous at birth, the baby expired during transport

Fraser syndrome in three consecutive siblings

Fraser syndrome (FS) is a rare disorder characterized by a combination of acrofacial and urogenital malformations with or without cryptophthalmos. We report a newborn and its two elder siblings who had multiple congenital anomalies and clinico-radiological features consistent with FS

The Value of Different Radiological Modalities in Assessment of Spontaneous Pneumomediastinum: Case Review and Diagnostic Perspective

Abstract Pneumomediastinum (PM), or a mediastinal air leak, is a known morbidity in neonates. Among predisposing factors, the most significant are mixed lung diseases, such as pneumonia or meconium aspiration syndrome, with coexisting atelectasis and airway obstruction. We report an unusual presentation of significant spontaneous pneumomediastinum in a term newborn delivered by elective cesarean section with no history of active resuscitation at birth. Timely diagnosis of SPM is important for both management and prognosis. We believe that lung ultrasound (LUS) is a promising screening tool for early detection of PM in neonates, and could help avoid unnecessary exposure to radiation in delicate neonates. More simultaneous studies comparing chest X-ray (CXR), LUS, and computed tomography (CT) scans may help to prove the utility value of point-of-care ultrasounds as a primary diagnostic tool in identifying this morbidity