Skip to main content
Erschienen in: Pediatric Radiology 12/2018

27.07.2018 | Pictorial Essay

Imaging findings of iatrogenic pharyngeal and esophageal injuries in neonates

verfasst von: Joel A. Wolf, Eliza H. Myers, Juan I. Remon, Einat Blumfield

Erschienen in: Pediatric Radiology | Ausgabe 12/2018

Einloggen, um Zugang zu erhalten

Abstract

Iatrogenic injuries to the upper gastrointestinal tract in neonates are rare but may lead to significant morbidity and mortality if undiagnosed. The clinical presentation of such injuries is usually nonspecific and symptoms may be overlooked, particularly in sick preterm neonates. Therefore, it is important to recognize the findings on plain chest radiographs obtained regularly in neonatal intensive care units (NICUs) on intubated patients. The purpose of this pictorial essay is to describe the imaging findings of various iatrogenic injuries to the pharynx and esophagus in the neonatal period in a cohort of seven cases.
Literatur
1.
Zurück zum Zitat Emil SG (2004) Neonatal esophageal perforation. J Pediatr Surg 39:1296–1298CrossRef Emil SG (2004) Neonatal esophageal perforation. J Pediatr Surg 39:1296–1298CrossRef
2.
Zurück zum Zitat Molitt DL, Schullinger JN, Santulli TV (1981) Selective management of iatrogenic esophageal perforation in the newborn. J Pediatr Surg 16:989–993CrossRef Molitt DL, Schullinger JN, Santulli TV (1981) Selective management of iatrogenic esophageal perforation in the newborn. J Pediatr Surg 16:989–993CrossRef
3.
Zurück zum Zitat Krasna IH, Rosenfeld D, Benjamin BG et al (1987) Esophageal perforation in the neonate: an emerging problem in the newborn nursery. J Pediatr Surg 22:784–790CrossRef Krasna IH, Rosenfeld D, Benjamin BG et al (1987) Esophageal perforation in the neonate: an emerging problem in the newborn nursery. J Pediatr Surg 22:784–790CrossRef
4.
Zurück zum Zitat Onwuka EA, Saadai P, Boomer LA, Nwomeh BC (2016) Nonoperative management of esophageal perforations in the newborn. J Surg Res 205:102–107CrossRef Onwuka EA, Saadai P, Boomer LA, Nwomeh BC (2016) Nonoperative management of esophageal perforations in the newborn. J Surg Res 205:102–107CrossRef
5.
Zurück zum Zitat Hesketh AJ, Behr CA, Soffer SZ et al (2015) Neonatal esophageal perforation: nonoperative management. J Surg Res 198:1–6CrossRef Hesketh AJ, Behr CA, Soffer SZ et al (2015) Neonatal esophageal perforation: nonoperative management. J Surg Res 198:1–6CrossRef
6.
Zurück zum Zitat Soylu H, Wiseman NE, El-Sayed Y et al (2013) Radiographic confirmation of feeding tube placement: diagnostic identifying gastrointestinal anomalies. Neonatal Netw 32:89–94CrossRef Soylu H, Wiseman NE, El-Sayed Y et al (2013) Radiographic confirmation of feeding tube placement: diagnostic identifying gastrointestinal anomalies. Neonatal Netw 32:89–94CrossRef
7.
Zurück zum Zitat Grunebaum M, Horondiceanu C, Wilunsky E, Reisnder S (1980) Iatrogenic transmural perforation of the oesophagus in the preterm infant. Clin Radiol 31:257–261CrossRef Grunebaum M, Horondiceanu C, Wilunsky E, Reisnder S (1980) Iatrogenic transmural perforation of the oesophagus in the preterm infant. Clin Radiol 31:257–261CrossRef
8.
Zurück zum Zitat Kassner EG, Baumstak A, Balsam D, Haller JO (1977) Passage of feeding catheters into the pleural space: a radiographic sign of trauma to the pharynx and esophagus in the newborn. AJR Am J Roentgenol 128:19–22CrossRef Kassner EG, Baumstak A, Balsam D, Haller JO (1977) Passage of feeding catheters into the pleural space: a radiographic sign of trauma to the pharynx and esophagus in the newborn. AJR Am J Roentgenol 128:19–22CrossRef
9.
Zurück zum Zitat Knight RB, Webb DE, Coppola CP (2009) Pharyngeal perforation masquerading as esophageal atresia. J Pediatr Surg 44:2216–2218CrossRef Knight RB, Webb DE, Coppola CP (2009) Pharyngeal perforation masquerading as esophageal atresia. J Pediatr Surg 44:2216–2218CrossRef
10.
Zurück zum Zitat Sapin E, Gumpert L, Bonnard A et al (2000) Iatrogenic pharyngoesophageal perforation in premature infants. Eur J Pediatr Surg 10:83–87CrossRef Sapin E, Gumpert L, Bonnard A et al (2000) Iatrogenic pharyngoesophageal perforation in premature infants. Eur J Pediatr Surg 10:83–87CrossRef
11.
Zurück zum Zitat Suryawanshi P, Dahat A, Nagpal R et al (2014) A rare case of accidental esophageal perforation in an extremely low birth weight neonate. J Clin Diagn Res 8:PD01–PD02PubMedPubMedCentral Suryawanshi P, Dahat A, Nagpal R et al (2014) A rare case of accidental esophageal perforation in an extremely low birth weight neonate. J Clin Diagn Res 8:PD01–PD02PubMedPubMedCentral
12.
Zurück zum Zitat Akel SR, Haddad FF, Hashim HA et al (1998) Traumatic injuries of the alimentary tract in children. Pediatr Surg 13:104–107CrossRef Akel SR, Haddad FF, Hashim HA et al (1998) Traumatic injuries of the alimentary tract in children. Pediatr Surg 13:104–107CrossRef
13.
Zurück zum Zitat Su BH, Lin HY, Chiu HY, Lin HC (2009) Oesophageal perforation: a complication of nasogastric tube placement in premature infants. J Pediatr 154:460CrossRef Su BH, Lin HY, Chiu HY, Lin HC (2009) Oesophageal perforation: a complication of nasogastric tube placement in premature infants. J Pediatr 154:460CrossRef
14.
Zurück zum Zitat Soong WJ (2007) Endoscopic diagnosis and management of iatrogenic cervical oesophageal perforation in extremely premature infants. J Chin Med Assoc 70:171–175CrossRef Soong WJ (2007) Endoscopic diagnosis and management of iatrogenic cervical oesophageal perforation in extremely premature infants. J Chin Med Assoc 70:171–175CrossRef
Metadaten
Titel
Imaging findings of iatrogenic pharyngeal and esophageal injuries in neonates
verfasst von
Joel A. Wolf
Eliza H. Myers
Juan I. Remon
Einat Blumfield
Publikationsdatum
27.07.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 12/2018
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-018-4208-7

Weitere Artikel der Ausgabe 12/2018

Pediatric Radiology 12/2018 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.