All issues > Volume 32(4); 1989

Original Article

J Korean Pediatr Soc. 1989;32(4):550-555. Published online April 30, 1989.

Congenital Esophageal Atresia Associated with Tracheal Bronchus and Imperforate Anus.

Si Houn Hahn¹, Keun Haeng Cho¹, Young Sook Hong¹, Soon Kyum Kim¹

¹Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea

Received: September 30, 1988;  Accepted: October 20, 1988.

Abstract

Esophageal atresia occurs once in 3000-4500 live births. These anomalies are thought to arise from defective differentiation of the primitive foregut into trachea and esophagus. defective growth of entodermal cells leading to atresia and an incomplete fusion of the lateral walls of the foregut to form a tracheoesophageal fistula. A full-term male baby was admitted to Guro Hospital with chief complaints of respiratory difficulty, chocking, cyanosis and imperforate anus after birth The esophagogram and bronchogram revealed proximal esophageal atresia. distal tracheoeso. phageal fistula and tracheal bronchus originated from the mid portion of trachea. Operation of Haight’s method and tranverse loop colostomy were performed on the 3rd day of life when the atelectasis of right upper lung was improved. Esophagram on the 11th post-op day showed good passage through the anastomotic site with mild stricture. and feeding was permitted The patient was discharged on the 23rd post-op day with improvements. So we report this case with a brief discussion and review of related literature.

Keywords :Esophageal atresia. Tracheoesophageal fistula Imperforate anus. Tracheal bronchus