Article Text

Download PDFPDF
Paediatric traumatic pneumomediastinum: the spinnaker sail sign
  1. Maria João Ferreira⇑,
  2. Mafalda Couto,
  3. Rita Loureiro,
  4. António Horta Oliveira
  1. Serviço de Cirurgia 2, Centro Hospitalar Tondela-Viseu EPE, Viseu, Portugal
  1. Correspondence to Dr Maria João Ferreira, mjp_ferreira{at}hotmail.com

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Description

A 20-month-old female infant was admitted to the emergency room after being run over by a car. She presented with pallor and signs of impaired peripheral perfusion, despite being conscious and alert. Signs of respiratory distress were recognised. There was a bilateral decrease of respiratory murmurs at pulmonary auscultation and her heart sounds were also diminished. Her peripheral oxygen saturation was 94% and her respiratory rate was 54 breaths per minute. A cervical and thoracic crepitus were present. There were no alterations at abdominal examination. Her blood pressure was 142/58 mmHg.

She presented with a Glasgow Coma …

View Full Text

Footnotes

  • Contributors MJF was part of the surgical team that assisted the child during her admission to the emergency room. She was responsible for clinical data acquisition and writing the manuscript.

    MC was part of the surgical team that assisted the children during her stay at the nursery. She also had an important role when revising the contents of the manuscript. RL

    played a major role in acquisition of all the clinical data and collecting the figures. A

    HO designed and developed this clinical case report. He was responsible for revising the content and ensured veracity of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained from guardian.

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