Document Detail

Traumatic pharyngo-oesophageal perforation in the newborn: a condition mimicking oesophageal atresia.
MedLine Citation:
PMID:  10736085     Owner:  NLM     Status:  MEDLINE    
Two newborn infants with traumatic perforation of the pharyngo-oesophageal region are presented. This injury was induced by pharyngeal suction catheters and/or vigorous attempts at nasogastric or tracheal intubation during resuscitation of the newborn. The true nature of this condition remained unrecognized and the babies were thus referred with a tentative diagnosis of oesophageal atresia. The perforation itself could be treated successfully without surgery, despite a severe complication in one infant resulting from inadvertent use of barium sulphate contrast medium. Raising awareness of the possibility of this injury should help in avoiding this complication by gentle and skilful action during newborn resuscitation, particularly in the premature infant.
W Pumberger; T Bader; J Golej; P Pokieser; M Semsroth
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  10     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2000  
Date Detail:
Created Date:  2000-04-25     Completed Date:  2000-04-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  201-5     Citation Subset:  IM    
Division of Paediatric Surgery, University of Vienna, Austria.
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MeSH Terms
Barium Sulfate / adverse effects
Contrast Media / adverse effects
Diagnosis, Differential
Esophageal Atresia / diagnosis*
Esophageal Perforation / etiology*,  radiography
Infant, Newborn
Infant, Premature
Intubation, Gastrointestinal / adverse effects,  instrumentation
Intubation, Intratracheal / adverse effects,  instrumentation
Pharynx / injuries*,  radiography
Suction / adverse effects,  instrumentation
Reg. No./Substance:
0/Contrast Media; 7727-43-7/Barium Sulfate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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