August 1955

Intrathoracic Alimentary Duplications Communicating with Small Intestine

Author Affiliations

New York
From the Divisions of Radiology and Surgery, The North Shore Hospital, Manhasset, N. Y.

AMA Arch Surg. 1955;71(2):230-233. doi:10.1001/archsurg.1955.01270140078013

The incidence of developmental anomalies of the alimentary tract which extend into the thorax has been small. In a detailed survey of the literature,* eight of these complicated abnormalities have been found, the first of which was reported in 1950 by Gross, Neuhauser, and Longino.6 This report adds another case which is significant because the duplication crossed the mediastinum to involve both chest cavities. Such a situation has been encountered only once before in surgical writings, and that by Gross.6

REPORT OF A CASE  A one-year-old boy was admitted to the North Shore Hospital, Manhasset, N. Y., on March 20, 1954, with a diagnosis of bronchopneumonia of the right lung. He had a week's history of high fever and frequent bouts of vomiting. Physical examination showed marked toxicity and temperature of 104 F, with dyspnea, cyanosis, and rales over the right lower lung field. Positive laboratory findings included

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