Abstract
A premature female infant weighing 753 g was born by emergency caesarean delivery due to maternal chorioamnionitis at 26 weeks' gestation. She received ventilatory support and surfactant. On day 6, after respiratory deterioration, she had a significant episode of oxygen desaturation and bradycardia. Transillumination of the chest revealed a right pneumothorax. Insertion of a chest drain improved the clinical condition, but radiography revealed a residual pneumothorax. Large amount of continuous air draining through the chest-tube raised the suspicion of a broncho-pleural fistula.
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