Three Cases of Pyriform Sinus Fistula Presenting With Respiratory Distress in the Neonatal Period and a Review of the Literature in Japan

DOI Web Site Open Access
  • Nakame Kazuhiko
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University
  • Yamada Koji
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University
  • Yamada Waka
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University
  • Masuya Ryuta
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University
  • Kawano Takafumi
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University
  • Machigashira Seiro
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University
  • Mukai Motoi
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University
  • Kaji Tatsuru
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University
  • Noguchi Hiroyuki
    Department of Pediatric Surgery, Kagoshima City Hospital
  • Ieiri Satoshi
    Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University

Bibliographic Information

Other Title
  • 呼吸障害を呈し新生児期に発症した梨状窩瘻の3例
  • 症例報告 呼吸障害を呈し新生児期に発症した梨状窩瘻の3例 : 自験例を含む本邦報告37例集計の検討
  • ショウレイ ホウコク コキュウ ショウガイ オ テイシ シンセイジキ ニ ハッショウ シタ ナシジョウカロウ ノ 3レイ : ジケンレイ オ フクム ホンポウ ホウコク 37レイ シュウケイ ノ ケントウ
  • ―自験例を含む本邦報告37例集計の検討―

Search this article

Abstract

<p>Pyriform sinus fistula (PSF) causes sudden onset of symptoms such as respiratory distress during the neonatal period. Here, we report the cases of three PSF patients who presented with respiratory distress in the neonatal period. In the first case, the patient showed a fever and respiratory disorder two days after birth. Cardiopulmonary arrest developed four days after birth, and cardiopulmonary resuscitation was performed. A mass on the left neck was noted, and a fistula was confirmed by cystography via puncture. The alleviative effect of the puncture of the cyst was temporary. The patient underwent resection 26 days after birth. In the second case, a mass on the left neck was noted two days after birth, and stridor aggravated it. A cyst with air bubbles was confirmed on magnetic resonance imaging. The patient needed endotracheal intubation because of dyspnea. The alleviative effect of puncturing the cyst was temporary, and because dyspnea continued, we resected the cyst 21 days after birth. In the third case, a mass on the left neck was noted during the prenatal period. The patient showed respiratory disorder after birth and underwent puncture of the cyst to alleviate respiratory symptoms and infection. Cystography showed a fistula. Because the respiratory symptoms persisted, we performed resection 26 days after birth. Puncturing a cyst is effective in relieving respiratory symptoms and infection in cases of PSF during the neonatal period, but the effect is temporary. Early operation should be considered in cases of neonatal PSF with dyspnea.</p>

Journal

Related Projects

See more

Keywords

Details 詳細情報について

Report a problem

Back to top