Persistent bronchography in a newborn with esophageal atresia

Autor: Giuseppe De Bernardo, MD, Desiree Sordino, MD, Maurizio Giordano, BSc, Nicoletta Doglioni, MD, Daniele Trevisanuto, MD
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Radiology Case Reports, Vol 11, Iss 2, Pp 113-115 (2016)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2016.02.018
Popis: Esophageal atresia (EA) with tracheoesophageal fistula occurs in about 1:2,500 births. We report a case of persistent bronchography in a newborn with EA and distal tracheoesophageal fistula. A large amount of barium sulfate was injected for mistake by a tube directly in the right bronchus to evaluate the patency of the esophagus. The infant showed signs of respiratory distress; he was intubated and transported at children's Hospital Santobono Pausilipon. Here, it was performed a chest X-ray that confirmed the opacification of the right bronchial tree, and it was suspected an EA type 3b. The literature recommends that: evaluation of the patency of the esophagus, with an iodinate contrast medium, should be done in a pediatric specialized center for high risk of lung aspiration.
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