Congenital Esophageal Atresia Associated with Tracheal Bronchus and Imperforate Anus. |
Si Houn Hahn, Keun Haeng Cho, Young Sook Hong, Soon Kyum Kim |
Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea |
항문폐쇄증과 기관기관지 (Trachal Bronçhus) 를
동반한 식도폐쇄증 1례 |
한시훈, 조근행, 홍영숙, 김순겸 |
고려대학교 의과대학 소아과학교실 |
Received: 30 September 1988 • Accepted: 20 October 1988 |
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Abstract |
Esophageal atresia occurs once in 3000-4500 live births. These anomalies are thought to arise from
defective differentiation of the primitive foregut into trachea and esophagus. defective growth of
entodermal cells leading to atresia and an incomplete fusion of the lateral walls of the foregut to form
a tracheoesophageal fistula.
A full-term male baby was admitted to Guro Hospital with chief complaints of respiratory
difficulty, chocking, cyanosis and imperforate anus after birth
The esophagogram and bronchogram revealed proximal esophageal atresia. distal tracheoeso.
phageal fistula and tracheal bronchus originated from the mid portion of trachea.
Operation of Haight’s method and tranverse loop colostomy were performed on the 3rd day of life
when the atelectasis of right upper lung was improved. Esophagram on the 11th post-op day showed
good passage through the anastomotic site with mild stricture. and feeding was permitted
The patient was discharged on the 23rd post-op day with improvements.
So we report this case with a brief discussion and review of related literature. |
Key Words:
Esophageal atresia. Tracheoesophageal fistula Imperforate anus. Tracheal bronchus |
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