Saadi Said, Ben Abdeljelil Nouha, Ben Salem Amina, Chioukh Fatma Zohra, Haj Salem Nidhal
Faculty of Medicine, University of Monastir, Tunisia.
Department of Forensic Medicine, Fattouma Bourguiba Teaching Hospital, 5000, Monastir, Tunisia.
Radiol Case Rep. 2020 Jul 9;15(9):1604-1608. doi: 10.1016/j.radcr.2020.06.047. eCollection 2020 Sep.
We describe, the clinical presentation of a rare case of Tracheal Agenesis in a preterm infant and we highlight magnetic imaging resonance (MRI) and autopsy findings to better characterize this anomaly. A 30-year-old female presented for acute polyhydramnios at 30 weeks gestation of a male foetus. Prenatal MRI was performed and excluded this diagnosis. After delivery, the neonate presented a respiratory distress. The laryngoscopy control of tube position concluded to an esophageal intubation. A second reading of antenatal MRI was made. An autopsy was performed. The internal examination of the organs revealed broncho-oesophageal fistula. The upper airways were obstructed at the larynx. Fetal MRI should be interpreted with caution when Tracheal Agenesis is highly suspected.
我们描述了一例早产儿罕见的气管闭锁病例的临床表现，并强调磁共振成像（MRI）和尸检结果，以更好地描述这种异常情况。一名30岁女性在妊娠30周时因急性羊水过多就诊，其腹中为男胎。进行了产前MRI检查并排除了该诊断。分娩后，新生儿出现呼吸窘迫。喉镜检查确定气管导管位置时发现为食管插管。对产前MRI进行了二次解读，并进行了尸检。器官内部检查显示存在支气管食管瘘。上呼吸道在喉部受阻。当高度怀疑气管闭锁时，对胎儿MRI的解读应谨慎。
