A male neonate was born to a 29-year-old mother by normal vaginal delivery at 37 weeks of gestation. Birth weight - 3010 g Height - 48 cm Head circumference - 35 cm His mother had gestational diabetes mellitus controlled by the dietary treatment. Polyhydramnios had been detected by ultrasonography at 33 weeks of gestation. Neither fetal ultrasonography nor magnetic resonance imaging (MRI) revealed abnormal findings accounting for polyhydramnios.
The neonate presented with symptoms of respiratory distress associated with tachypnea, cyanosis, and retractive breathing at birth. Even when the baby attempted to cry, his voice could barely be heard. An immediate observation of his oral cavity identified a soft mass. Due to progressive respiratory distress with marked hypercapnia, he was intubated using a flexible fiberoptic nasopharyngoscope, because the mass was prone to bleeding by contact.…
