• Title/Summary/Keyword: Congenital fistula

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Surgical Experience of Esophageal Atresia Associated with Tracheoesophageal Fistula (기관식도루를 동반한 선천성 식도 폐쇄증 : 치험 5례)

  • Song, Jin-Cheon;An, Byeong-Hui;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.396-401
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    • 1990
  • This report is an review of 5 cases of congenital esophageal atresia associated with tracheoesophageal fistula which were treated in the Department of Thoracic and Cardiovascular Surgery, Chonnam University Hospital from January, 1987 to February, 1989. First patient that was associated with VATER’s syndrome and moderate pneumonia, i.e., Waterston Category C was treated by gastrostomy, colostomy and primary anastomosis, but expired. Second patient that was weighed 2.2 Kg, suffered from moderate pneumonia was treated by gastrostomy, but died from asphyxia. The other patients were treated by primary repair. Any anastomotic leakage or gastroesophageal reflux was not found in these cases, but mild anastomotic strictures were found in these patients by postoperative esophagography. However, esophageal dilatation of anastomotic strictures was successful using the Griintzig balloon catheter.

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In tralobar pulmonary sequestration associated with A-V fistula (동정맥 누공을 합병한 내엽형 폐 격절증의 치험례)

  • Lee, Jun-Yeong;Ji, Haeng-Ok
    • Journal of Chest Surgery
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    • v.19 no.4
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    • pp.726-730
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    • 1986
  • Intralobar pulmonary sequestration is a rare congenital malformation characterized by a cystic portion of the lung that derives its arterial blood supply through aberrant vessel directly of systemic circulation. Two forms of pulmonary sequestration occur; intralobar sequestration is usually contained within the visceral pleura of a pulmonary lobe and its venous drainage to the pulmonary venous system. We presented on case of intralobar pulmonary sequestration with A-V fistula. The patient was 8 years old male and chief complaints are mild fever and exertional dyspnea. Aortogram revealed an aberrant artery originated from thoracic aorta just above the diaphragm and its vessel directly communicated pulmonary vein in sequestrated segment. At time of operation, sequestrated lobe measuring 6x5x5cm, well demarcated at the lower lobe was noted. Aberrant, measuring 1.0cm in diameter and 1cm in length and directly connected pulmonary vein. After division and ligation of the aberrant artery, only excision of sequestrated lobe was performed and complication is not during postoperative course.

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Gastrointestinal Emergency in Neonates and Infants: A Pictorial Essay

  • Gayoung Choi;Bo-Kyung Je;Yu Jin Kim
    • Korean Journal of Radiology
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    • v.23 no.1
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    • pp.124-138
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    • 2022
  • Gastrointestinal (GI) emergencies in neonates and infants encompass from the beginning to the end of the GI tract. Both congenital and acquired conditions can cause various GI emergencies in neonates and infants. Given the overlapping or nonspecific clinical findings of many different neonatal and infantile GI emergencies and the unique characteristics of this age group, appropriate imaging is key to accurate and timely diagnosis while avoiding unnecessary radiation hazard and medical costs. In this paper, we discuss the radiological findings of essential neonatal and infantile GI emergencies, including esophageal atresia and tracheoesophageal fistula, hypertrophic pyloric stenosis, duodenal atresia, malrotation, midgut volvulus for upper GI emergencies, and jejunoileal atresia, meconium ileus, meconium plug syndrome, meconium peritonitis, Hirschsprung disease, anorectal malformation, necrotizing enterocolitis, and intussusception for lower GI emergencies.

Congenital Cystic Adenomatoid Malformation(CCAM) (선천성 낭포성 유선종 기형)

  • 김수원
    • Journal of Chest Surgery
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    • v.21 no.6
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    • pp.1084-1094
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    • 1988
  • Conservative management of 3 iatrogenic perforations of intrathoracic esophagus was reviewed. The primary disorders were achalasia in 2 patients and congenital tracheoesophageal fistula in 1 patient. Perforation occurred after treatment of the primary disorders in the distal esophagus in 2 patients and mid-thoracic esophagus in 1 patient. All the perforations appeared late after the previous treatments and the inflammation spread to mediastinum and pleural cavity in all the 3 patients. Conservative management of esophageal perforation was carried out with intraluminal drainage from the perforated site of esophagus[insertion of Levin`s tube and continuous suction], pleural drainage and feeding of liquid diet through gastrostomy tube with Fowler`s position. The patients revealed spontaneous closure of perforated sites about 3 to 4 weeks after this conservative management without open thoracotomy. This result suggests that this conservative management may be accepted as therapeutic method in the thoracic esophageal perforations regardless of cause and time of the perforation.

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Renal and Ureteral Fusion in a Calf with Atresia Ani

  • Jeong, Won-Il;Lee, Cha-Soo;Kim, Seok-Jae;Kim, Jin-Hyun;Jeong, Kyu-Shik
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2002.11a
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    • pp.138-138
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    • 2002
  • A 10-day old male calf exhibited multiple congenital anomalies of the urinary and gastrointestinal tracts, including renal fusion (horseshoe kidney), ureteral fusion, rectovesicular fistula, and atresia ani. The single kidney was fused at the caudal poles. The left kidney and cranial half of right kidney were shrunken, while the remaining lobules were hypertrophic. Ureters were fused cranially and bifurcated caudally. The terminal rectum was narrowed and connected with the bladder. The anus was imperforate. The cause of these anomalies could not be determined. This is the first report of this constellation of congenital anomalies in a calf.

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A Case of Complicated Congenital Cardiac Anormaly Occurred in Shepherd Mongrel Dog (세퍼드 잡종견에 발생한 복합적 선천성 심장기형의 일예)

  • Kim Duck-Hwan;Kim Kyo-Joon;Kwon Oh-Deog;Jun Moo-Hyung;Park Chung-Hee;Lee Byung-Chul;Choi Hi-In;Park Kyung-Soo
    • Journal of Veterinary Clinics
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    • v.5 no.2
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    • pp.111-118
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    • 1988
  • One four-month-old female shepherd mongrel dog with chief complaints of abdominal distension and dysponea was referred. The authors performed physical examination, hematological examination, X-ray examination, exploratory laparotomy, electrocardiography and angiography as antemortem investigation in addition to postmortem examination. This patient revealed complicated congenital cardiac anormaly including patent ductus arteriosus, both atrial and ventricular hypertrophy, distension in the base of the pulmonary artery, pulmonary stenosis, aortic insufficiency, patent foramen ovate and coronary arteriovenous fistula.

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Transpericardial closure of postpneumonectomy bronchopleural fistula -Report of a case- (정중흉골절개하 경심낭적 기관지 흉막누공의 폐쇄 치험 1예)

  • Kim, Ju-Hyeon;Lee, Jae-Won
    • Journal of Chest Surgery
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    • v.19 no.3
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    • pp.528-533
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    • 1986
  • Total anomalous pulmonary venous connection is relatively rare cyanotic congenital heart diaease, which represents 1-4% of all congenital cardiac defects. Generally in the majority cases, severe heart failure and cyanosis develops in the early infancy. Because of high mortality in the untreated infants and surgical risk, there are still many things to be improved. Two patients with total anomalous pulmonary venous connection are presented, which we recently experienced. The one was 10 year old female with supracardiac type drained through left innominate vein, and survived the operation and continuous to do well for 1 year. The other 5 year old female with mixed type (right pulmonary vein drained via coronary sinus and left pulmonary vein through left innominate vein) was operated successfully under hypothermia and extracorporeal circulation, and followed up for 6 months without problem. It was very rare case in the literature.

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The use of the buccal fat pad flap for oral reconstruction

  • Kim, Min-Keun;Han, Wonil;Kim, Seong-Gon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.5.1-5.9
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    • 2017
  • Many congenital and acquired defects occur in the maxillofacial area. The buccal fat pad flap (BFP) is a simple and reliable flap for the treatment of many of these defects because of its rich blood supply and location, which is close to the location of various intraoral defects. In this article, we have reviewed BFP and the associated anatomical background, surgical techniques, and clinical applications. The surgical procedure is simple and has shown a high success rate in various clinical applications (approximately 90%), including the closure of oroantral fistula, correction of congenital defect, treatment of jaw bone necrosis, and reconstruction of tumor defects. The control of etiologic factors, size of defect, anatomical location of defect, and general condition of patient could influence the prognosis after grafting. In conclusion, BFP is a reliable flap that can be applied to various clinical situations.

CONGENITAL PERILYMPH FISTULA WITH RECURRENT MENINGITIS (재발성 뇌막염에 동반된 외임파누공)

  • 장선오;정필상;김종선
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.7.1-7
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    • 1987
  • 청력장애가 있고 반복성 뇌막염을 앓는 환자에서는 일단 외임파누공을 의심하고 이에 대한 이비인후과 의사의 철저한 진찰 및 검사를 통해 진단 및 치료에 임해야 하겠다. 저자들은 최근에 경험한 재발성 뇌막염 환아에서 외임파누공을 진단하고 치료한 2예를 보고하고자 한다. 선천적으로 청력장애가 있고 수술전 1년동안 5∼6회의 뇌막염을 앓은 환아를 이학적검사, 청력검사 및 전산화 단층촬영을 이용하여 외임파누공을 진단하고 근막을 포함한 연조직으로 누공을 봉쇄하는 수술적 요법을 사용하여 완치시켰기에 문헌고찰과 함께 보고하는 바이다.

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