| A Case of Congenital Esophageal Atresia. |
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Joon Chull Kim |
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Department of Pediatrics, Chonnam University Medical School, Kwang-Ju, Korea. |
| 先天性 食道閉鎻症의 1例 |
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金後哲 |
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全南大學校 醫科大學 小兒科學敎室 |
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| Abstract |
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We have experienced a case of congenital esopageal atresia which was confirmed by autopsy. A 3 days old female infant, birth weight 2,300gm, length 48cm, was admitted to Dept. of Pediatrics, Chonnam University Medical school because of poor sucking power, fever and vomiting. On admission, she was kept in an incubator and whole milk was giver per oral, followed by immediate vomiting and regurgitation through mouth and nose, accompanied by dyspnea and cyanosis. A Nelaton catheter was inserted through the esophagus but met a solid obstructed region at 15cm from the nares. A plain abdomen showed no air in the upper gastrointestinal tract, and in esophagogram with air and Dionocil, esophageal atresia without tracheoesophageal fistula was shown. Gastrostomy was performed but 6 days after operation, she expired. The autopsy findings revealed blind pouched upper esophagus with dilatation at 2nd thoracie spine level and blind pouched lower esophagus just below the diaphragm. A brief review of related literature is also noted. |
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