Infant Journal
Browse articlesA floppy baby with elevated right hemidiaphragm and large stomach bubble on chest radiograph: what’s the diagnosis?
A preterm neonate of 36 weeks’ gestation was born via emergency lower segment caesarean section, requiring respiratory support soon after birth. She was hypotonic from birth and was found to have a large gastric bubble and a raised right hemidiaphragm on X-ray. She reached full feeds through a nasogastric tube on day 3 of life but later developed severe gastro-oesophageal reflux with pulmonary aspiration. What is the likely diagnosis?
Fatimah AliyuST6 Paediatric Trainee, York Teaching Hospital, NHS Foundation Trust, f.aliyu@nhs.net
Udoka Asoh
ST7 Paediatric Trainee, Neonatal Unit, Hull University Teaching Hospitals NHS Trust, u.asoh@nhs.net
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Keywords
myofibroma; haemangiopericytoma; neonatal haemorrhage protocol; tranexamic acid
Key points
- Congenital myofibroma presenting at birth is a rare clinical finding.
- Ulcerating myofibromatous lesions can have significant consequences if not managed urgently, especially due to the risk of major bleeding and subsequent multi-organ failure.
- This case supports the need for devising major haemorrhage protocols in neonates.
