Unusual site for oesophageal perforation in an extremely low birth weight infant |
| |
Authors: | P A Cairns B G McClure H L Halliday M Mc Reid |
| |
Institution: | (1) Neonatal Intensive Care Unit, Jubilee Maternity Hospital, Belfast, N. Ireland, IE;(2) Department of Child Health, The Queens University of Belfast, N. Ireland, IE |
| |
Abstract: | A male infant born at 26 weeks gestation became unwell at 10 days of age with blood-stained pharyngeal aspirates. The chest
radiograph revealed a feeding tube in the right pleural cavity, indicating a perforation of the thoracic oesophagus. The infant
had had a chest drain inserted on the right side on two previous occasions. These had been allowed to remain across the mediastinum
at the site of the subsequent perforation. The infant was successfully managed conservatively with no long-term sequelae The
unusual site of the perforation led us to conclude that pressure necrosis from the drains was a contributing factor in the
aetiology.
Conclusion Oesophageal perforations in the neonate, in contrast to the adult, can be managed conservatively.
Received: 11 March 1997 and in revised form 24 February 1998 / Accepted: 3 March 1998 |
| |
Keywords: | Oesophageal perforation Very low birth weight infant Chest drain |
本文献已被 PubMed SpringerLink 等数据库收录! |
|