Abstract
Summary Three necropsy cases, two premature infants with idiopathic respiratory distress syndrome and one with Potter's syndrome with pulmonary hypoplasia, sustained lung perforation during insertion of a chest tube for pneumothorax. In none of the cases was the diagnosis made during life. Perforation should be suspected when a pneumothorax fails to resolve or hemothorax develops after placement of a chest tube in a child with reason to have a “stiff lung” syndrome.
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