| Congenital laryngomucocoele: a rare cause for CHAOS. | |
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MedLine Citation:
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PMID: 21686730 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Congenital high airway obstruction syndrome (CHAOS) is a rare but life-threatening condition that results from the obstruction of the upper airways.We describe a female newborn, from a Grávida II, Para 0, 36-year-old woman, with a routine ultrasound at 30 weeks' gestation that showed polyhydramnios. She delivered a live-born female baby at 36 weeks without any dismorphic features but with respiratory distress. Attempts at endotracheal intubation were unsuccessful due to the presence of a mass obstructing the larynx. The reanimation process was stopped after 20 minutes. Post-mortem examination demonstrated the presence of a total occlusion of the larynx by a laryngomucocoele. Laryngocele, a congenital cyst of the larynx, occurs rarely and hardly ever as a cause of CHAOS. What is more, laryngomucocoele has not been previously reported as a cause of CHAOS. These conditions represent a neonatal emergency with reserved prognosis unless diagnosed antenatally allowing for a programmed ex utero intrapartum treatment (EXIT) by performing tracheostomy while maintaining the placental circulation. |
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Authors:
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Manuel Sousa Cunha; Patrícia Janeiro; Rosário Fernandes; Helena Carreiro; Ricardo Laurini |
Publication Detail:
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Type: Journal Article Date: 2009-02-27 |
Journal Detail:
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Title: BMJ case reports Volume: 2009 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2009 |
Date Detail:
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Created Date: 2011-06-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: - |
Affiliation:
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Hospital Fernando Fonseca, Pediatrics, IC 19, Amadora, 2720-276, Portugal. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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