Meeralebbae Shaheed M, Zain Seidahmed M, Basir Abdelbasit O, Ahmed Abdullah M, Abdullah Abomelha M
Department of Pediatrics, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2002 Oct;23(10):1287-90.
We report a case of traumatic perforation of esophagus misdiagnosed as esophageal atresia in a 1.7 kg preterm (28 weeks) twin. Initial resistance to the passage of orogastric tube and failure of passage of contrast material down the esophagus prompted the diagnosis of esophageal atresia. Subsequently, the passage of orogastric tube as well as radiological findings at the age of 7 days made us change the diagnosis to traumatic perforation of esophagus. The baby was managed conservatively and discharged in good health at the age of 2 months. Literature is reviewed and the attention of pediatricians is drawn to this problem.
我们报告了一例1.7千克（孕28周）早产双胞胎中的食管创伤性穿孔病例，该病例最初被误诊为食管闭锁。经口胃管插入时最初遇到阻力，且造影剂无法通过食管，这促使诊断为食管闭锁。随后，经口胃管的顺利插入以及7天时的影像学检查结果使我们将诊断改为食管创伤性穿孔。该婴儿接受了保守治疗，并在2个月大时健康出院。本文对相关文献进行了综述，并提请儿科医生关注这一问题。
