Persistent bronchography in a newborn with esophageal atresia

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• 作者：Giuseppe De Bernardo ; MD^a ; ^{pinodebtin@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Desiree Sordino ; MD^a ; Maurizio Giordano ; BSc^a ; Nicoletta Doglioni ; MD^b ; Daniele Trevisanuto ; MD^b
• 关键词：Esophageal atresia ; Barium sulfate ; Iodate medium ; Respiratory distress ; Bronchography
• 刊名：Radiology Case Reports
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：11
• 期：2
• 页码：113-115
• 全文大小：768 K

文摘

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.