tailieunhanh - Phế quản xuất phát từ thực quản: Báo cáo 1 trường hợp và xem lại y văn

Phế quản xuất phát từ thực quản là dị tật bẩm sinh hiếm gặp liên quan đến hệ hô hấp và hệ tiêu hóa, với rất ít trường hợp được báo cáo trong y văn. Bài viết báo cáo và mô tả một trường hợp và kết quả điều trị. | Journal of Pediatric Research and Practice Vol. 6 No. 3 4 2022 169-177 Case Report Esophageal Bronchus in an Infant A Case Report and Review of the Literature Chiem Hoang Duy Truong Manh Dien Tran Minh Tan Duong Quoc Tuong Nguyen Kinh Bang City Children s Hospital 15 Vo Tran Chi Tan Kien Binh Chanh Ho Chi Minh City Vietnam Received 25 April 2022 Revised 5 May 2022 Accepted 15 May 2022 Abstract Esophageal bronchus or communicating bronchopulmonary foregut malformation CBPFM is a rare congenital malformation involving both the digestive and respiratory systems with very few cases reported in the literature. We describe the diagnostic workup and management that led to a successful outcome. A 4-month-old female infant presented to our institute with recurrent pneumonia normal obstetric history regular respiratory support. With the assistance of contrast-enhanced chest computed tomography CT upper gastrointestinal tract imaging and upper gastrointestinal endoscopy the diagnosis was established according to the most recent diagnostic criteria. The patient was recieved middle and lower right pneumonectomy and surgical repair of esophageal fistula. CBPFM type III was confirmed on the basis of the postoperative histopathological finding. The drainage was removed 5 days post-op the respiratory problems were improved however the patient still needed to go through a cardiac operation subsequently. Esophageal Bronchus is a rare condition thus the pre-operative diagnosis is extremely difficult clinicians usually focus on lungs parenchymal damaged condition while omit airway abnormalities. Bronchoscopy should be performed in complex cases of esophageal atresia to avoid missing these deformities. Keywords communicating bronchopulmonary foregut malformation esophageal atresia esophageal bronchus esophageal lung. Corresponding author. E-mail address https 169 170 . Duy et al. Journal of Pediatric Research and Practice Vol. 6