https://doi.org/10.4081/ecj.2023.11570

Bowel sounds in the chest of a 7-day-old baby: what’s going on?

Vol. 19 No. 4 (2023)
Submitted: 6 July 2023
Accepted: 14 July 2023
Published: 25 July 2023
Diaphragmatic hernia, Bochdaleck hernia, respiratory distress, neonatology
Abstract Views: 1086
PDF: 183
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Alessandra Di Nora
alessandradinora@gmail.com
https://orcid.org/0000-0002-8960-4016
Department of Clinical and Experimental Medicine, University of Catania; Postgraduate Training Program in Pediatrics, Catania, Italy.
Francesco Pizzo
Department of Clinical and Experimental Medicine, University of Catania; Postgraduate Training Program in Pediatrics, Catania, Italy.
Piero Pavone
Department of Clinical and Experimental Medicine, University of Catania; Postgraduate Training Program in Pediatrics, Catania, Italy.

A 7-day-old female neonate presented with feeding difficulties and respiratory distress. She was born at term by vaginal delivery, weighed 2625 gr, with Apgar scores 9 and 10 in the first and fifth minutes of her life. Her mother did make complete prenatal care, and she reported smoking 10 cigarettes a day during the pregnancy. The baby was born well and evolved without respiratory distress, with good reactivity, a positive neonatal reflex, the emission of meconium in the first 24 hours, and breastfeeding with valid suckling. The baby was discharged at home in good condition. Three days later, she presented with feeding difficulties, and she was admitted to our institute. At admission, the heart rate was 180 bpm, the respiratory rate was 70/minute, and the oxygen saturation was 93% in room air. At the clinical examination, subcoastal retractions and inspiratory stridor with cyanosis were evident. A right-sided heart auscultation and bowel sounds in the chest were detected. We decided to perform an X-ray of the chest and abdomen.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Raucci U, Boni A, Folign S, et al. Late congenital diaphragmatic hernia: is a significant challenge? A case series and review from literature. Minerva pediatrics 2021; https://doi.org/10.23736/S2724-5276.21.06329-1 Advance online. DOI: https://doi.org/10.23736/S2724-5276.21.06329-1
Keijzer R, Puri P. Congenital diaphragmatic hernia. Seminars Pediat Surg 2010;19:180–5. DOI: https://doi.org/10.1053/j.sempedsurg.2010.03.001
Zhang J, Savitz DA, Schwingl PJ, et al. A case-control study of paternal smoking and birth defects. Int J Epidemiol 1992;21:273–8. DOI: https://doi.org/10.1093/ije/21.2.273
Yilmaz G, Isik Agras P, Hizli S, et al. The effect of passive smoking and breast feeding on serum antioxidant vitamin (A, C, E) levels in infants. Acta Paediatr 2009;98:531–6. DOI: https://doi.org/10.1111/j.1651-2227.2008.01084.x
Kirby E, Keijzer R. Congenital diaphragmatic hernia: current management strategies from antenatal diagnosis to long-term follow-up. PedSurg Int 2020;36:415–29. DOI: https://doi.org/10.1007/s00383-020-04625-z
Esposito C, Settimi A, Centonze A, et al. Bochdaleck diaphragmatic hernia, complicated by an antenatal gastric perforation, presenting as a pneumothorax and a perforative peritonitis. Ped Surg Int 2008;24:365–9. DOI: https://doi.org/10.1007/s00383-007-2000-0
Chao P-H, Huang C-B, Liu CA, et al. Congenital diaphragmatic hernia in the neonatal period: review of 21 years’ experience. Pediatr Neonatol 2010;51:97-102. DOI: https://doi.org/10.1016/S1875-9572(10)60018-6
Al-Jazaeri A. Simplified technique for minimally invasive repair of congenital diaphragmatic hernia using hollow-needle snare and transthoracic traction stitches. Journal Ped Surg 2012;47:258–63. DOI: https://doi.org/10.1016/j.jpedsurg.2011.10.050
Schimpl G, Fotter R, Sauer H. Congenital diaphragmatic hernia presenting after the newborn period. Eur J Ped 1993;152:765–8. DOI: https://doi.org/10.1007/BF01953998

How to Cite

Di Nora, A., Pizzo, F., & Pavone, P. (2023). Bowel sounds in the chest of a 7-day-old baby: what’s going on?. Emergency Care Journal, 19(4). https://doi.org/10.4081/ecj.2023.11570
Copyright (c) 2023 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.