We have experienced a case of trocheo-esophageal fistula with esophageal atresia.
A male infant, birth weight 2900gm was delivered after a pregnancy complicated by polyhydroamnios on July 22, 1964. The family history was not contributory.
After birth the infant breathed and cried spontaneously and did well initially, but after few minutes appeared excessive mucus in the pharynx constantly, so thick mucoid secretion was suctioned from the pharynx repeatly.
After 24 hours 5% glucose solution was given and immediately vomited, some of it regurgitating through the nose and mouth with associated cynosis, dyspnea, cough, and abdominal distention. A urethral catheter was inserted through the nose into the esophagus under diagnosis of the esophageal atresia and seemed to pass readily downword far enough to the stomach. unfortanatly the tube had been coiling in a blind esophageal pouch and never reached the stomach.
The infant appeared dehydration and coarse Tales were heard over both lungs.
At that time, plain X-ray for chest showed the upper esophageal pouch sharply outlined by air and atelectasis of the right upper lobe on lung field.
After 4 days of the delivered, the infant was die.
Therefore Autopsy was perfomed.
Result of the autopsy: We found which the upper esophageal pouch is blind, and a fistulous connection between lower esophageal pouch and the trochea near the bifurcation, and showed atrial, septal defects.
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