All issues > Volume 12(4); 1969

Case Report

J Korean Pediatr Soc. 1969;12(4):213-216. Published online April 30, 1969.

A Case of Esophageal Atresia with Tracheo-esophageal Fistula

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

Abstract

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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