Persistent bronchography in a newborn with esophageal atresia

Developmental Biology

Daniele Trevisanuto¹  Maurizio Giordano²  Nicoletta Doglioni¹  Desiree Sordino²  Giuseppe De Bernardo² 

[1]Department of Women and Children Health, Azienda Ospedaliera di Padova, University of Padua, Padova, Italy$$

[2]Department of Emergency, NICU-AORN Santobono-Pausilipon, Via Mario Fiore 6, Napoli, NA 80129, Italy$$

关键词: Esophageal atresia;    Barium sulfate;    Iodate medium;    Respiratory distress;    Bronchography;   

DOI  :  10.1016/j.radcr.2016.02.018

学科分类：医学（综合）

来源: University of Washington * Department of Radiology

【 摘 要 】

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.

【 授权许可】

Unknown