Angel Wing Sign in a Neonate with Pneumomediastinum

      A 3200 g male infant was born at 40 weeks gestation to a 40-year-old gravida 4, para 3 mother. Pregnancy was uneventful and the infant was born via normal spontaneous vaginal delivery. The infant developed marked respiratory distress upon delivery and the heart rate remained below 100/min, for which the infant received positive pressure ventilation for 30 seconds with a bag and mask, then admitted to the neonatal intensive care unit under continuous positive airway pressure ventilation.
      To read this article in full you will need to make a payment


        • Correia-Pinto J.
        • Henriques-Coelho T.
        Images in clinical medicine. Neonatal pneumomediastinum and the spinnaker-sail sign.
        N Engl J Med. 2010; 363: 2145
        • Alves N.D.
        • Sousa M.
        Images in pediatrics: the thymic sail sign and thymic wave sign.
        Eur J Pediatr. 2013; 172: 133
        • Bejvan S.M.
        • Godwin J.D.
        Pneumomediastinum: old signs and new signs.
        AJR AM J Roentgenol. 1996; 166: 1041-1048