NEONATAL THYMIC HEMORRHAGE

Thymic haemorrhage in a neonate is an exceedingly rare condition. A ca se is presented of a neonate presenting at birth with cyanosis, respir atory distress and an anterior mediastinal mass. The radiological find ings are demonstrated. After surgical excision and histopathological e xamination the lesion was found to be spontaneous haemorrhage into nor mal thymic tissue. Spontaneous thymic haemorrhage should be considered in any neonate developing acute respiratory distress with widening of the mediastinum and pleural effusion on chest radiography. Ultrasound may be used to support the diagnosis.