1 Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada
Spontaneous pneumothorax is reportedly occurring in 0.05% to 1% of all live births.1,2 Pediatricians have long been aware of the apparent association between spontaneous pneumothorax, with or without pneumomediastinum, and congenital anomalies of the urinary tract. However, reports of the incidence of this relationship have been inconclusive, based on small numbers of infants.3-5 We therefore sought to determine this incidence in a large clinical population.
METHODS
We reviewed the records of all 6,236 infants admitted to the neonatology unit during 1961-1967 and selected all cases of spontaneous pneumothorax or pneumomediastinum or both (lung rupture) and of congenital urinary tract anomalies.
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J. S. Brenner and M. G. Karlowicz Nonfatal Symptomatic Spontaneous Pneumothorax in Neonates: Association with White Ethnicity and Lack of Association with Major Urinary Tract Malformations Clinical Pediatrics, April 1, 1997; 36(4): 241 - 243. [PDF] |
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