Abstract
The causes and risk factors of symptomatic spontaneous pneumothorax in term newborns are not completely understood. In the present study, our aim was to investigate the risk factors for and clinical and laboratory characteristics of term newborns with spontaneous symptomatic pneumothorax and to evaluate the outcome of management in this condition. A total of 11 term newborns admitted to the newborn intensive care unit with a diagnosis of symptomatic spontaneous pneumothorax were included during a 22-month period. Female to male ratio was 4:7, mean gestational age was 39.5 weeks, and 63% were delivered with a cesarean section, 18% of patients had renal and 55% had congenital cardiac anomalies. Rate of cardiac anomalies was more frequent in the study group compared to control group. Echocardiography in addition to renal ultrasonography may also be needed in term newborns with spontaneous symptomatic pneumothorax and further studies may be warranted to evaluate this association.
Similar content being viewed by others
References
Chernick V, Avery ME (1963) Spontaneous alveolar rupture at birth. Pediatrics 32:816–824
Bagchi I, Nycyk JA (2002) Familial spontaneous pneumothorax. Arch Dis Child Fetal Neonatal Ed 86:F70
Özkiraz S, Tarcan A, Gürakan B (2004) Yenidoğanın geçici takipnesi ve ailevi spontan pnomotoraks. Türk Pediatri Arş 39:185–186
Al Tawil K, Abu-Ekteish FM, Tamimi O et al (2004) Symptomatic spontaneous pneumothorax in term newborn infants. Pediatr Pulmonol 37:443–446
Maya P, Saha SP (1983) Spontaneous pneumothorax in the newborn. Am Surg 49:192–195
Bashour BN, Balfe JW (1977) Urinary tract anomalies in neonates with spontaneous pneumothorax and/or pneumomediastinum. Pediatrics 59:1048–1049
Ashkenazi S, Merlob P, Stark H, Einstein B, Grunebaum M, Reisner SH (1983) Renal anomalies in neonates with spontaneous pneumothorax—incidence and evaluation. Int J Pediatr Nephrol 4:25–27
DeMeester TR, Lafontaine E (1990) The pleura. In: Sabiston DC, Spencer FC (eds) Surgery of the chest. WB Saunders, Philadelphia, pp 440–449
Rowe MI, Oȁ9Neill JA, Grosfeld JL, Fonkalsrud EW, Coran AG (1995) Intrathoracic access and procedures. In: Essentials of pediatric surgery. Mosby, St. Louis, pp 152–156
Orenstein DM (1996) Diseases of the pleura. In: Behrman RI, Kliegman RM, Arvin AM (eds) Nelson textbook of pediatrics. WB Saunders, Philadelphia, pp 1254–1255
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Katar, S., Devecioğlu, C., Kervancıoğlu, M. et al. Symptomatic spontaneous pneumothorax in term newborns. Pediatr Surg Int 22, 755–758 (2006). https://doi.org/10.1007/s00383-006-1740-6
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-006-1740-6