Abstract SEVERE asphyxia of the newborn can be caused by tumors of the pharynx.1-3 Although they occur only rarely, they should be included in the differential diagnosis of asphyxia neonatorum. Report of a Case A female infant weighing 6 lb 6 oz (2,900 gm) was born with severe asphyxia after the mother's normal first pregnancy and labor. Usual resuscitation measures were applied, but respiratory movements appeared only 30 minutes after delivery and the infant cried only one hour after birth. Esophageal atresia was suspected because of large amounts of saliva in mouth and pharynx, but a tube could be easily passed into the stomach.An x-ray film showed atelectasis of left lung. Respiratory distress continued with fast irregular breathing, but feeding was possible without much difficulty.On the third day a thorough inspection revealed a finger-like mass in the mouth, which appeared when the tongue was depressed. It was light References 1. Kesson, C. W.: Asphyxia Neonatorum Due to Nasopharyngeal Teratoma , Arch Dis Child 29:254-255 ( (June) ) 1954.Crossref 2. Holborow, C. A.: Simple Nasopharyngeal Teratoma , J Laryng 671-672 ( (Aug) ) 1958. 3. Foxwell, P. B., and Kelham, B. H.: Teratoid Tumors of Nasopharynx , J Laryng 72:647-657 ( (Aug) ) 1958.Crossref 4. Willis, R. A.: Pathology of Tumors of Children , Springfield: Charles C Thomas, 1962, p 87.
American Journal of Diseases of Children – American Medical Association
Published: Jun 1, 1965