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September 1962

Congenital Membranous Obstruction of Esophagus

Author Affiliations

From the Department of Surgery, University of Rochester School of Medicine and Dentistry.

Arch Surg. 1962;85(3):480-482. doi:10.1001/archsurg.1962.01310030128020

Esophageal obstruction in the newborn is most frequently related to an atretic segment, which is usually associated with a tracheo-esophageal fistula. Rarely, an intraluminal membrane serves as the etiologic factor for esophageal obstruction. The recent successful treatment of such a case prompted a review of the literature and this report.

Report of a Case  This infant was admitted to The Strong Memorial Hospital as a 1-day-old female with a diagnosis of esophageal atresia. She had been born 28 hours prior to admission. The pregnancy had been uncomplicated, and delivery was normal and spontaneous. The baby weighed 5 lb. 13 oz. (712 gm.) at birth, and a cleft palate had been noted. It is of interest that 5 of the 6 siblings of the patient had cleft palates. Another sibling died at age 2 weeks due to "intestinal obstruction." Both parents are well, and neither has cleft lip or palate.On