TY - JOUR T1 - RAdiological cases of the month AU - Pramanik AK, Sharma S, Wood BP Y1 - 1989/01/01 N1 - 10.1001/archpedi.1989.02150130105025 JO - American Journal of Diseases of Children SP - 95 EP - 96 VL - 143 IS - 1 N2 - 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 SN - 0002-922X M3 - doi: 10.1001/archpedi.1989.02150130105025 UR - http://dx.doi.org/10.1001/archpedi.1989.02150130105025 ER -