PNEUMOTHORAX IN A NEWBORN WITH MECONIUM ASPIRATION SYNDROME : A Case Report

Pneumothorax is the dissection of air into the pleural space. MAS has become 20%cause of pneumothorax. The thick, viscid meconium can result in partial airwayobstruction with air-leak syndrome as the complication. We found respiratory distress inthis baby who born through meconium-stained amniotic fluid (MSAF). The risk factor ofthis case was amniotic membrane rupture 3 days before delivery, oligohydramnion andpreeclamsic mother . During the observation, the baby became more cyanotic andrespiratory distress. Chest X-Ray examination revealed avascular lucent area at rightlateral hemithorax, as a sign of pneumothorax. The baby got chest tube insertion andintubated with oxygen support ventilator. The serial thorax x-ray evaluation showedimprovement of lung expansion, without air leakage in right pleural. After 7 days, thechest tube was taken off.