0
August 1988, Vol 142, No. 8 >
Article | August 1988

Radiological Case of the Month FREE

Michael J. Mandell, MD; A'Delbert Bowen, MD; Michael D. Shaw, MD; Beverly P. Wood, MD
[+] Author Affiliations

Accepted and edited for publication by Lionel W. Young, MD, former section editor, Sept 18, 1987.

Reprint requests to Department of Radiology, Childrens Hospital Medical Center of Akron, 281 Locust St, Akron OH 44308 (Dr L. W. Young).


Am J Dis Child. 1988;142(8):891-892. doi:10.1001/archpedi.1988.02150080097033.
Text Size: A A A
Published online
Article
References
Comments

A 1340-g male infant, the product of 32 weeks' gestation and spontaneous vaginal delivery, had Apgar scores of 0 and 3 at one and five minutes, respectively. The infant was intubated and resuscitated, but respiratory distress persisted. He was transferred to Magee-Womens Hospital in Pittsburgh at 2 days of age. On physical examination, the abdomen was soft, but some examiners questioned the presence of a fluid-filled mass in the left lower quadrant. Roentgenograms of the chest (Fig 1) and abdomen (Fig 2) and an abdominal ultrasonogram (Fig 3) were obtained.

Denouement and Discussion 

Coexisting Duodenal and Esophageal Atresia Without Tracheoesophageal Fistula  It was not possible to pass a nasogastric tube into this infant's stomach. At the outlying hospital, a roentgenogram with barium suspension injected into the proximal esophagus had confirmed esophageal atresia. Chest roentgenogram showed hyaline membrane disease, the caudal tip ofthe nasogastric

REFERENCES

1 +
Spitz L, Ali M, Brereton RJ:  Combined esophageal and duodenal atresia: Experience of 18 patients . J Pediatr Surg 1981;;16:4-7.
2 +
Crowe JE, Sumner TE:  Combined esophageal and duodenal atresia without tracheoesophageal fistula: Characteristic radiographic changes . AJR 1978;;130:167-168.
3 +
McCook TA, Felman AH:  Esophageal atresia, duodenal atresia, and gastric distention: Report of two cases . AJR 1978;;131:167-168.
4 +
Hayden CK Jr, Schwartz MZ, Davis M, et al:  Combined esophageal and duodenal atresia; Sonographic findings . AJR 1983;;140:225-226.
5 +
Jackson GH, Yiu-Chiu VS, Smith WL, et al:  Sonography of combined esophageal and duodenal atresia . J Ultrasound Med 1983;;2:473-474.
6 +
Claiborne AK, Blocker SH, Martin CM, et al:  Prenatal and postnatal sonographic delineation of gastrointestinal abnormalities in a case of the VATER syndrome . J Ultrasound Med 1986;;5:45-47.

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 +
Spitz L, Ali M, Brereton RJ:  Combined esophageal and duodenal atresia: Experience of 18 patients . J Pediatr Surg 1981;;16:4-7.
2 +
Crowe JE, Sumner TE:  Combined esophageal and duodenal atresia without tracheoesophageal fistula: Characteristic radiographic changes . AJR 1978;;130:167-168.
3 +
McCook TA, Felman AH:  Esophageal atresia, duodenal atresia, and gastric distention: Report of two cases . AJR 1978;;131:167-168.
4 +
Hayden CK Jr, Schwartz MZ, Davis M, et al:  Combined esophageal and duodenal atresia; Sonographic findings . AJR 1983;;140:225-226.
5 +
Jackson GH, Yiu-Chiu VS, Smith WL, et al:  Sonography of combined esophageal and duodenal atresia . J Ultrasound Med 1983;;2:473-474.
6 +
Claiborne AK, Blocker SH, Martin CM, et al:  Prenatal and postnatal sonographic delineation of gastrointestinal abnormalities in a case of the VATER syndrome . J Ultrasound Med 1986;;5:45-47.

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