Conflict of interest: None declared.
Persistent unilateral white-out in preterm infant
Article first published online: 12 SEP 2012
© 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 49, Issue 1, pages E87–E89, January 2013
How to Cite
Pahuja, A. and Lee, S. (2013), Persistent unilateral white-out in preterm infant. Journal of Paediatrics and Child Health, 49: E87–E89. doi: 10.1111/j.1440-1754.2012.02552.x
- Issue published online: 16 JAN 2013
- Article first published online: 12 SEP 2012
- Accepted for publication 1 December 2011.
We would like to present a case of persistent right sided collapse in a preterm baby with an unexpected diagnosis. Baby X was born floppy requiring resuscitation and was intubated, ventilated and was transferred to NICU. There was decreased air entry on auscultation of right side of the chest, while the rest of the examination was normal. The chest X-ray showed right side white-out suggestive of collapse consolidation. She required significantly high ventilatory pressures to maintain saturations and chest X-ray performed on day 4 remained unchanged with persistent right sided white-out. The CT scan of the chest showed no definable right lung, right pulmonary artery or right main bronchus. The diagnosis of right lung agenesis with single pulmonary artery was made and baby was found to have more congenital malformations on further investigations, and later developed complications leading to palliative care.