We have experienced a case of congenital esopageal atresia which was confirmed by autopsy.
A 3 days old female infant, birth weight 2, 300gm, length 48cm, was admitted to Dept. of Pediatrics, Chonnam Uuiversity Medical school because of poor sucking power, fever and vomiting.
On admission, she was kept in an incubator and whole milk was given per oral, followed by.immediate vomiting and regurgitaticn through mouth and nose, accompanied by dyspnea and cyanosis. A Nelaton catheter was inserted through the esophagus but met a solid obstructed region at 15cm from the nares.
A plain abdomen showed no air in the upper gastrointestinal tract, and in esopl,agogram with air and Dionocil, esophageal atresia without tracheoesophageal fistula was shown. Gastrostomy was performed but 6 days after operation, she expired.
The autopsy findings revealed blind pouched upper esophagus with dilatation at 2nd thoracic spine level and blind touched lower esophagus just below the diaphragm.
A brief review of related literature is also noted.
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