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Article
January 2, 1926

CONGENITAL ATRESIA OF ESOPHAGUS ASSOCIATED WITH ATRESIA OF ANUS AND TRACHEA; ESOPHAGEAL FISTULA

JAMA. 1926;86(1):33. doi:10.1001/jama.1926.26720270003008c
Abstract

Cases of congenital atresia of the esophagus, though not rare, are of interest.

REPORT OF CASE  G. S., a boy, born, Sept. 29, 1925, had no rectal opening. September 30, the infant was brought to the American Hospital for operation. No abnormalities were discovered in the eyes, ears, nose, throat, chest, lungs, heart, abdomen, genital organs or skin.After two attempts, owing to the child's failure to ingest the barium, roentgen-ray examination showed a distinct pouch formation of the esophagus at the sternal notch, the material failing to pass farther. Reexamination, after three hours, showed a small part of the unejected barium meal in the same pouch formation, no barium having passed beyond it. A soft rubber catheter passed into the esophagus reached the lower margin of the pouch, then reversed, the tip returning into the oral cavity.With the double malformation present the condition of the infant was deemed

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