RT Journal
A1 Pramanik AK, Sharma S, Wood BP
T1 RAdiological cases of the month
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1989
FD January 1
VO 143
IS 1
SP 95
OP 96
DO 10.1001/archpedi.1989.02150130105025
UL http://dx.doi.org/10.1001/archpedi.1989.02150130105025
AB A newborn male infant weighing 900 g was admitted to the intensive care unit at 8 hours of age with a diagnosis of prematurity and severe respiratory distress. He was delivered by cesarean section at 28 weeks' gestation to a 23-year-old mother. The Apgar scores were 2 and 3 at one and five minutes, respectively. The infant was intubated with difficulty following several unsuccessful attempts using an endotracheal tube that had an internal diameter of 2.5 mm and a metal stylet. At admission, the patient was in acute respiratory distress and required high ventilator pressures and oxygen.Repeated efforts to pass a 5-F orogastric tube met with resistance after 6 cm was introduced. After a nasogastric tube was placed in the stomach a chest roentgenogram was obtained (Fig 1). A roentgenogram of the chest was repeated (Fig 2) after instillation of 1 mL of water-soluble contrast material in the nasogastric