PEDIATRICS Vol. 47 No. 3 March 1971, pp. 634-635
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Neonatal Pneumopericardium

Marguerite Markarian M.D.1 and Ronald C. Ablow M.D.1

1 Departments of Pediatrics and Radiology, Mt. Zion Hospital and Medical Center, 1600 Divisadero Street, San Francisco, California 94115

We would like to add a case of pneumopericardium in the newborn to the seven reviewed by Matthieu, et al.1 This case is unusual in that it is only the second reported in which the pneumopericardium cleared spontaneously without aspiration.

V. J. was a premature, Negro, female infant born at 26 weeks' gestation to a 14-year-old Gravida I, Para 0 mother. Birth weight was 794 gm. Her 1-minute and 5-minute Apgar scores were 1, and spontaneous respirations did not begin until after 20 minutes of positive pressure oxygen therapy and administration of 5 mEq of sodium bicarbonate solution via the umbilical vein.