A rare pitfall in the diagnosis of oesophageal atresia
| Autor: | Rakesh Patel, Stephen Chapman, Girish Jawaheer, Kamal Kuti |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Fistula Delayed diagnosis Diagnosis Differential Esophagus medicine Humans Abnormalities Multiple Radiology Nuclear Medicine and imaging Esophageal Atresia False Negative Reactions Neuroradiology Oesophageal pouch medicine.diagnostic_test business.industry Stomach Infant Newborn medicine.disease Surgery Radiography medicine.anatomical_structure Atresia Pediatrics Perinatology and Child Health Female Chest radiograph business Tracheoesophageal Fistula |
| Zdroj: | Pediatric Radiology. 43:902-904 |
| ISSN: | 1432-1998 0301-0449 |
| DOI: | 10.1007/s00247-010-1685-8 |
| Popis: | The diagnosis of oesophageal atresia (OA) is usually made soon after birth. Two diagnostic criteria are failure to pass a nasogastric (NG) tube and a chest radiograph demonstrating a curled NG tube in the upper oesophageal pouch. A 6-day-old neonate was referred to our institution with persistence of symptoms following exclusion of the diagnosis of OA on the basis of an NG tube radiologically confirmed to reach the stomach. Persistent oxygen desaturations and copious salivation led to further investigations, and a delayed diagnosis of oesophageal atresia and tracheo-oesophageal fistula was made. Radiological demonstration of an NG tube reaching the stomach does not exclude the diagnosis of oesophageal atresia and can be falsely reassuring and lead to diagnostic delay. |
| Databáze: | OpenAIRE |
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