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January 1954


AMA Am J Dis Child. 1954;87(1):49-54. doi:10.1001/archpedi.1954.02050090049006

ESOPHAGEAL disease constitutes a particularly serious threat to the life and well-being of newborn and very young infants. Inflammation and ulceration of the distal esophagus is rare in healthy infants, but is found not infrequently in postmortem studies of the newborn. The complications of hemorrhage, perforation, or obstruction are almost always fatal, and usually occur before the underlying disease has been recognized. If especially sought for, inflammatory changes will be found frequently in the distal esophagus at postmortem examination of the new-born. The two following cases are thought to be unusual, the first because it was characterized by fatal hemorrhage into the gastrointestinal tract and the second because of the complete obstruction which abated after gastrectomy.

Case 1.—This 2,050 gm., 46.97 cm. baby girl was born at 5: 30 a. m. on Oct. 17, 1952, after a normal pregnancy and normal delivery. The infant's condition was critical; marked molding of

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