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Trocheo-Esophageal Fistula with Esophageal Atresia.

Journal of the Korean Pediatric Society 1966;9(3):171-176.
Published online May 31, 1966.
Trocheo-Esophageal Fistula with Esophageal Atresia.
Yeun Sook Kim1, Heung Sick Kim2
1Department of Pediatrics Seoul Red Cross, Seoul, Korea
2Department of otolaryngology Seoul Red Cross, Seoul, Korea
一食道閉鎖 및 氣管食道廣 1例一
金連淑1, 金興植2
1서울赤十字病院 小兒科
2서울赤十字病院 耳鼻咽喉科
Abstract
We have experienced a case of trocheo-esophageal fistula with esophageal atresia. A male infant, birth weight 2900gm was delivered after a pregnancy complicated by polyhydroamnios on July 22, 1964. The family history was not contributory. After birth the infant breathed and cried spontaneously and did well initially, but after few min- utes appeared excessive mucus in the pharynx constantly, so thick mucoid secretion was suctioned from the pharynx repeatly. After 24 hours 5% glucose solution was given and immediately vomited, some of it regurgitating through the nose and mouth with associated cynosis, dyspnea, cough, and abdominal distention. A urethral catheter was inserted through the nose into the esophagus under diagnosis of the esophageal atresia and seemed to pass readily downword far enough to the stomach, unfortanatly the tube had been coiling in a blind esophageal pouch and never reached the stomach. The infant appeared dehydration and coarse rales were heard over both lungs. At that time, plain X-ray for chest showed the upper esophageal pouch sharply outlined by air and atelectasis of the right upper lobe on lung field. After 4 days of the delivered, the infant was die. Therefore Autopsy was perfomed. Result of the autopsy: We found which the upper esophageal pouch is blind, and a fistulous connection between lower esophageal pouch and the trochea near the bifurcation, and showed atrial,septal defects.


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