0
April 1971, Vol 121, No. 4 >
Article | April 1971

Radiological Case of the Month FREE

John L. Gwinn, MD; Fred A. Lee, MD; James W. Dietz, MC; Edgar O. Ledbetter, MC
[+] Author Affiliations

Received for publication Aug 28, 1970.

Reprint requests to Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles 90027 (Dr. Gwinn).


Am J Dis Child. 1971;121(4):329-330. doi:10.1001/archpedi.1971.02100150103013.
Text Size: A A A
Published online
Article
References
Comments

Clinical History.—The uncomplicated birth of this 3,629 gm (8 lb) infant girl was followed by meconiumstained amniotic fluid. The one minute Apgar score was 1 (for heart rate). Copious mucus was suctioned from the oropharynx and after several unsuccessful attempts at tracheal intubation spontaneous respirations occurred. Tenacious mucus containing fresh blood was suctioned from the oropharynx following the resuscitative measures. Progressive dyspnea and tachypnea ensued and glucose-water feedings were regurgitated. On arrival at Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas, at 36 hours of age, episodes of choking necessitated frequent suctioning of accumulated pharyngeal secretions. After several unsuccessful attempts, a No. 8 French catheter was passed, with difficulty, through the esophagus into the stomach (Fig 1). Retrograde roentgenographic studies of the esophagus were accomplished by introducing contrast media through the nasogastric tube as it was withdrawn (Fig 2 and 3). The infant was then taken

REFERENCES

1 +
Brintnall ES, Kridelbaugh WW:  Congenital diverticulum of the posterior hypopharynx simulating atresia of the esophagus . Ann Surg 131:564-574, 1950;.
2 +
Sidaway ME:  Duplication of the esophagus . Ann Radiol 7: 400-405, 1964;.
3 +
Eklof O, Lohr G, Okmian L:  Submucosal perforation of the esophagus in the neonate . Acta Radiol 8:187-192, 1969;.
4 +
Girdany BR, Sieber WK, Osman MZ:  Traumatic pseudo-diverticulums of the pharynx in newborn infants . New Eng J Med 280:237-240, 1969;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Brintnall ES, Kridelbaugh WW:  Congenital diverticulum of the posterior hypopharynx simulating atresia of the esophagus . Ann Surg 131:564-574, 1950;.
2 +
Sidaway ME:  Duplication of the esophagus . Ann Radiol 7: 400-405, 1964;.
3 +
Eklof O, Lohr G, Okmian L:  Submucosal perforation of the esophagus in the neonate . Acta Radiol 8:187-192, 1969;.
4 +
Girdany BR, Sieber WK, Osman MZ:  Traumatic pseudo-diverticulums of the pharynx in newborn infants . New Eng J Med 280:237-240, 1969;.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems