Tracheal agenesis: A rare but fatal congenital anomaly
In this report we describe a newborn with a rare case of Type II tracheal agenesis and bronchoesophageal fistula. Polyhydramnios and suspected esophageal atresia were identified during routine pre-natal ultrasound screening. Upon delivery, rigid bronchoscopy, esophagoscopy, and intraoperative fluoroscopy were performed, where both bronchi and the carina showed unusual horizontal orientation making it difficult to identify the fistula. However, a post mortem CT confirmed the diagnosis of an isolated Type II tracheal agenesis with bronchoesophageal fistula.PMID:22363177 | PMC:PMC3277332 (Source: McGill Journal of Medicine : MJM)
Source: McGill Journal of Medicine : MJM - February 25, 2012 Category: Universities & Medical Training Authors: Suzan Ergun Ted Tewfik Sam Daniel Source Type: research

Foreign Body (Pen) in the Stomach and Lower Esophagus
An 18-month-old girl presented to the Emergency Department (ED) complaining of painful swallowing of saliva shortly after pen ingestion. Her mother stated that just before calling emergency medical services, she swallowed a pen while playing in the room. She had no difficulty in breathing or noisy breathing. On physical examination, she appeared scared but had no respiratory distress and no wheeze or stridor. Radiographs were performed in the ED (). A radiolucent 14.5-cm object was lodged in the stomach, with the metallic tip above the lower esophageal sphincter. The pen was removed under general anesthesia using rigid eso...
Source: The Journal of Emergency Medicine - October 10, 2011 Category: Emergency Medicine Authors: Abdullah Al-Reesi, Moustafa Ashour Tags: Visual Diagnosis in Emergency Medicine Source Type: research