Spinnaker sign - pneumomediastinum

Case contributed by Sahil Patil , 16 Dec 2022
Diagnosis almost certain
Changed by Mostafa Elfeky, 16 Dec 2022
Disclosures - updated 11 May 2022: Nothing to disclose

Updates to Case Attributes

Title was changed:
Spinnaker sign (pneumomediastinum)- pneumomediastinum
Presentation was changed:
The patient is a newborn male presenting with respiratory distress requiring CPAP after an emergent category one caesarean section for cord prolapse. He was born at 37 + 3 gestation, a birth weight of 2600g and APGAR scores of 7, 8 and 9 at the 1-, 5- and 10-minute mark respectively. A mobile supine chest X-RAY revealed bilateral pneumothorax with pneumomediastinum (angel wing/Spinnaker sign). The patient was consequently admitted to the neonatal intensive care unit.

References changed:

  • 1. Bakhos C, Pupovac S, Ata A, Fantauzzi J, Fabian T. Spontaneous Pneumomediastinum: An Extensive Workup Is Not Required. J Am Coll Surg. 2014;219(4):713-7. <a href="https://doi.org/10.1016/j.jamcollsurg.2014.06.001">doi:10.1016/j.jamcollsurg.2014.06.001</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25053221">Pubmed</a>
  • 1. Bakhos C, Pupovac S, Ata A, Fantauzzi J, Fabian T. Spontaneous Pneumomediastinum: An Extensive Workup Is Not Required. J Am Coll Surg. 2014;219(4):713-7. <a href="https://doi.org/10.1016/j.jamcollsurg.2014.06.001">doi:10.1016/j.jamcollsurg.2014.06.001</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25053221">Pubmed</a>
  • 1. Gaillard F, Molinari A, Bell D, et al. Spinnaker sign (mediastinum). Reference article, Radiopaedia.org (Accessed on 16 Dec 2022) https://doi.org/10.53347/rID-897 2. Gorrochategui M, Di Muzio B, Bell D, et al. Pneumomediastinum. Reference article, Radiopaedia.org (Accessed on 16 Dec 2022) https://doi.org/10.53347/rID-4653 3. Bakhos CT, Pupovac SS, Ata A, Fantauzzi JP, Fabian T. Spontaneous pneumomediastinum: an extensive workup is not required. J Am Coll Surg. 2014 Oct;219(4):713-7. doi: 10.1016/j.jamcollsurg.2014.06.001. Epub 2014 Jun 6. PMID: 25053221.
  • 1. Gaillard F, Molinari A, Bell D, et al. Spinnaker sign (mediastinum). Reference article, Radiopaedia.org (Accessed on 16 Dec 2022) https://doi.org/10.53347/rID-897
  • 2. Gorrochategui M, Di Muzio B, Bell D, et al. Pneumomediastinum. Reference article, Radiopaedia.org (Accessed on 16 Dec 2022) https://doi.org/10.53347/rID-4653
  • 3. Bakhos CT, Pupovac SS, Ata A, Fantauzzi JP, Fabian T. Spontaneous pneumomediastinum: an extensive workup is not required. J Am Coll Surg. 2014 Oct;219(4):713-7. doi: 10.1016/j.jamcollsurg.2014.06.001. Epub 2014 Jun 6. PMID: 25053221.
  • 3. Bakhos C, Pupovac S, Ata A, Fantauzzi J, Fabian T. Spontaneous Pneumomediastinum: An Extensive Workup Is Not Required. J Am Coll Surg. 2014;219(4):713-7. <a href="https://doi.org/10.1016/j.jamcollsurg.2014.06.001">doi:10.1016/j.jamcollsurg.2014.06.001</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25053221">Pubmed</a>

Systems changed:

  • Paediatrics

Updates to Link Attributes

Title was removed:
Spinnaker sign (pneumomediastinum)
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