April 1971

Radiological Case of the Month

Author Affiliations

Los Angeles; USAF; USAF
From the Department of Pediatrics, Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas.

Am J Dis Child. 1971;121(4):329-330. doi:10.1001/archpedi.1971.02100150103013

Clinical History.—The uncomplicated birth of this 3,629 gm (8 lb) infant girl was followed by meconiumstained amniotic fluid. The one minute Apgar score was 1 (for heart rate). Copious mucus was suctioned from the oropharynx and after several unsuccessful attempts at tracheal intubation spontaneous respirations occurred. Tenacious mucus containing fresh blood was suctioned from the oropharynx following the resuscitative measures. Progressive dyspnea and tachypnea ensued and glucose-water feedings were regurgitated. On arrival at Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas, at 36 hours of age, episodes of choking necessitated frequent suctioning of accumulated pharyngeal secretions. After several unsuccessful attempts, a No. 8 French catheter was passed, with difficulty, through the esophagus into the stomach (Fig 1). Retrograde roentgenographic studies of the esophagus were accomplished by introducing contrast media through the nasogastric tube as it was withdrawn (Fig 2 and 3). The infant was then taken

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