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Term neonate with neck and supraclavicular swelling at birth
  1. Shavindra Chellen,
  2. Shaveta Mulla
  1. Neonatal Unit, East Kent Hospitals University NHS Foundation Trust, Ashford, UK
  1. Correspondence to Dr Shavindra Chellen; schellen{at}nhs.net

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A term infant was delivered via elective caesarean section (CS). Antenatal history was unremarkable. Delivery of the head was assisted with the use of Wrigley’s forceps. The baby was born in good condition with Apgar scores of 9, 10 and 10 at 1, 5 and 10 minutes, respectively. She required no resuscitation. Immediately after birth, it was noted that when she cried, there was bilateral supraclavicular swelling. Examination identified neck and upper chest crepitus with positive transillumination. The baby had no respiratory distress and normal saturations. An X-ray was performed at 1 hour of life.

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  1. What pathology does the X-ray show? (figure 1)

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    1. Shoulder dystocia

    2. Macrosomic infant

    3. Traumatic intubation

    4. Non-invasive ventilation

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Footnotes

  • X @drshavetamulla

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.