RESUMO
We report a newborn female born at 29 weeks' gestation who was unable to be resuscitated following a vaginal breech delivery. At autopsy the larynx and trachea contained a 1.2 x 0.2 cm fragment of tissue. Microscopic sections of this tissue revealed it to consist of decidua. This is the first report in the literature of tracheal obstruction secondary to aspiration of decidua. The mechanism by which this tissue may have resulted in completed obstruction of the trachea is discussed.
Assuntos
Obstrução das Vias Respiratórias/etiologia , Decídua , Corpos Estranhos/complicações , Recém-Nascido Prematuro , Traqueia , Obstrução das Vias Respiratórias/patologia , Obstrução das Vias Respiratórias/terapia , Autopsia , Evolução Fatal , Feminino , Corpos Estranhos/terapia , Humanos , Recém-Nascido , Inalação , Complicações do Trabalho de Parto , Gravidez , Ressuscitação/métodosRESUMO
We report a case of a neonate who presented with hypoxic ischemic encephalopathy, persistent hypoglycemia and hypotension, intractable metabolic acidosis, renal failure and a coagulopathy but who, at autopsy, was found to have massive infiltration of nonhematopoietic tissues with blasts. The diagnosis of congenital erythroleukemia was confirmed by the detection of glycophorin A, a major erythrocyte membrane protein, on the surface of the blasts. The clinical presentation and course of the case described here have not previously been reported for this extremely rare condition.
