3D-CT検査で頸部気管食道瘻が術前診断されたGross D型食道閉鎖症の1例  [in Japanese] A Case of Type-D Esophageal Atresia Preoperatively Diagnosed as Proximal Tracheoesophageal Fistula Using CT Scan  [in Japanese]

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Author(s)

    • 赤峰 翔 Akamine Sho
    • 県立広島病院成育医療センター小児外科 Department of Pediatric Surgery, Hiroshima Prefectural Hospital

Abstract

症例は生後4か月の女児.出生時体重1,418g,在胎32週で出生後にC型食道閉鎖症と診断された,生直後に胃瘻造設と腹部食道バンディングが施行され管理,根治術目的で当科紹介となった.術前検査として施行した3D-CT検査にてD型食道閉鎖症が疑われ,上部食道造影検査にて確定診断された.患児は二期的に根治術を施行した.術後経過良好.低侵襲で術前の情報量が多く得られる3D-CT検査は新生児食道閉鎖症の術前検査として有用である.

A 4-month-old girl was referred to our department. Her birth weight was 1,418 g and gestational age was 32 weeks. She had been diagnosed with type-C esophageal atresia, and underwent gastorostomy and banding of abdominal esophagus. We performed three-dimensional CT scan preoperatively, and found proximal tracheaesophageal fistula. Proximal tracheaesophageal fistula was diagnosed using contrast study of the upper esophagus. She underwent staged operation, and has been doing well. CT scan was safe and effective in diagnosis of esophageal atresia.

Journal

  • Journal of the Japanese Society of Pediatric Surgeons

    Journal of the Japanese Society of Pediatric Surgeons 48(5), 840-843, 2012

    The Japanese Society of Pediatric Surgeons

References:  13

Codes

  • NII Article ID (NAID)
    110009489657
  • NII NACSIS-CAT ID (NCID)
    AN00192281
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    0288-609X
  • NDL Article ID
    023943957
  • NDL Call No.
    Z19-244
  • Data Source
    CJP  NDL  NII-ELS  J-STAGE 
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