A 13-year-old mixed-race male from an urban setting was diagnosed with Noonan syndrome and presented with an acute abdomen. Physical examination revealed low-set ears, superior pectum carinatum and inferior pectum excavatum, a wide mamillary line, and widely separated nipples. Radiological examination revealed variable bone density, cervicodorsal scoliosis, subglottic tracheal stenosis, a widened upper mediastinum, and bronchovascular enhancement consistent with mild pulmonary stenosis and signs of air trapping. He underwent emergency surgery with a diagnosis of acute appendicitis. The patient remains clinically stable and is recovering satisfactorily.
FIGURE 1 : Facial and rib cage dysmorphisms in an adolescent with Noonan Syndrome.
FIGURE 2 : Radiological appearance of the chest of an adolescent with Noonan Syndrome.
DGJ: conceptualization, formal analysis, research, project administration, original draft, supervision.
RJAP: research, methodology, project management, writing, supervision.
The authors declare that there are no conflicts of interest.
The authors did not receive funding for the development of this article.
Copyright 2024 Dayane Garcia-Jimenez et al.
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