| A Case of Esophageal Atresia with Tracheo-esophageal Fistula |
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Byung II Kim1, Jae Choon Lee1, Dong Sup Han1, Tae Sook Lee2 |
1Department of Pediatrics, Kyungpook National University, School of Medicine
2Department of Pathology, Kyungpook National University, School of Medicine |
| 氣管食道療를 同伴한 先天性 食道閉鎖症의 1例 |
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金炳鎰1, 李在春1, 韓東 燮1, 李泰淑2 |
1慶北大學校 醫科大學 小兒科學敎室
2慶北大學校 醫科大學 病理學敎室 |
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| Abstract |
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We have experienced a case of esophageal atresia with tracheo-esophageal fistula which was confirmed
by autopsy. The male infant, birth weight 2, 430 gm., was delivered after a pregnancy complicated by polyhy-
droamnios. After birth, the infant breathed and cried spontaneously and did well initially, but after few hours showed excessive mucus in the pharynx and mild dyspnea. He was placed in an incubator, with oxygen and high humidity, and given penicillin and Kanamycin. About 20 hours after birth, 5% glucose solution was offered by mouth, and immediately vomited, some of it regurgitating through the nose and mouth with associated dyspnea, cyanosis, choking and cough. A Nelaton catheter was inserted through the nose into the esophagus under the suspicion of esophageal atresia, the catheter meeting a solid obstruction about 10 cm. from the nares.
Fluoroscopic examination with Lipiodol could not be performed because the condition of the patient was very poor. At that time, a plain X-ray film showed pneumonic consolidation of the right upper and left lung fields. The stomach was distended by air. Four days after birth, the infant died from pneumonia. The autopsy findings revealed blind pouched upper esophagus with fistulous connection between the trachea and low esophagus on the tracheal bifurcation level. There was no specific anomalies except the pneumonic change over the both lungs.
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