scholarly journals An interesting case of ‘strange lines’ a neonate with oesophageal atresia, tracheo-oesophageal fistula, situs inversus abdominalis and azygos continuation

2019 ◽  
Vol 12 (11) ◽  
pp. e229929
Author(s):  
Camille Legat ◽  
Maissa Rayyan ◽  
Herbert Decaluwe ◽  
Katherine Carkeek

We describe the case of a term baby boy born via vaginal delivery at 39 weeks gestation with oesophageal atresia, tracheaoesophageal fistula, situs inversus abdominalis and azygos continuation. The azygos continuation was diagnosed after cardiac echo and confirmed on cardiac catherisation after an unexpected umbilical line position on thoracoabdominal X-ray. The baby underwent a right-sided thoracotomy on day 1 of life for repair of the oesophageal atresia. A double fistula, of both the proximal and distal segments, of the oesophagus with short segment stenosis was confirmed. The tracheo-oesophageal fistulae were ligated and divided and the oesophageal atresia repaired by primary anastomosis without complications. The azygos vein was not ligated.

2007 ◽  
Vol 23 (7) ◽  
pp. 647-651 ◽  
Author(s):  
Thambipillai Sri Paran ◽  
Diane Decaluwe ◽  
Martin Corbally ◽  
Prem Puri

2001 ◽  
Vol 80 (4) ◽  
pp. 234-238 ◽  
Author(s):  
Ashutosh Kacker ◽  
Jerry Huo

Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: anastomosis breakdown and leak. We describe the case of a 67-year-old man who was treated for a 3-cm tracheal stenosis secondary to a prolonged intubation and multiple tracheostomies. The patient underwent a tracheal resection and primary anastomosis. The anastomosis was reinforced with fibrin sealant, which created an airtight seal. The patient was extubated postoperatively, and he healed without complication. Fibrin sealant is a convenient, safe, and effective material for reinforcing anastomotic suture lines.


Author(s):  
R. E. Winchell ◽  
H. E. Wenden

SummaryDiaboleïte has been synthesized between 25 and 100° C at atmospheric pressure and approximate water vapour partial pressures of 14·7 lb/in2. Under similar conditions at 170° C cumengéite appears to be the stable phase produced from a diaboleïte composition. Synthetic diaboleïte is much simpler morphologically than the natural mineral but the hemimorphic symmetry is more clearly demonstrated morphologically in the artificial specimens. A comparison of X-ray powder data for natural and synthetic diaboleïte shows almost exact detailed correspondence in line position and intensity between 0 and 180° 2θ. The cell dimensions obtained from X-ray powder data are a 5·869 ± 0·002 Å and c 5·495 ± 0·003 Å.


2016 ◽  
Vol 10 ◽  
pp. CMC.S38153
Author(s):  
Mariana S. Parahuleva ◽  
Mehmet Burgazli ◽  
Nedim Soydan ◽  
Wolfgang Franzen ◽  
Norbert Guttler ◽  
...  

We report an interesting case of a man with a persistent left superior vena cava (PLSVC) with left azygos vein who underwent electrophysiological evaluation. Further evaluation revealed congenital dilated azygos vein, while a segment connecting the inferior vena cava (IVC) to the hepatic vein and right atrium was missing. The azygos vein drained into the superior vena cava, and the hepatic veins drained directly into the right atrium. The patient did not have congenital anomalies of the remaining thoracoabdominal vasculature.


2007 ◽  
Vol 8 (4) ◽  
pp. 302-304 ◽  
Author(s):  
A.W. Demant ◽  
H. Rattunde ◽  
S. Abderhalden ◽  
R. Von Vigier ◽  
R.W. Wolf

Central venous catheters are established as vascular access in hemodialysis therapy. Vascular catheter misdirection may occur and is a well known problem. We present a rare catheter malposition in a young dialysis patient with consequent dilatation of the azygos vein system, simulating the appearance of an azygos continuation syndrome (ACS).


2017 ◽  
Vol 4 (6) ◽  
pp. 1699
Author(s):  
Abhishek Agarwal ◽  
Asna Khan ◽  
Saurav Pandey ◽  
Arvind Kumar Vaish

Tuberculosis can occur as pulmonary tuberculosis or as extrapulmonary tuberculosis. The commonest forms of extrapulmonary tuberculosis include the pleural tuberculosis and the lymph node tuberculosis. Here we are describing an interesting case of laryngeal tuberculosis which presented to us with odynophagia. The diagnosis was suspected on basis of chest x-ray and CT thorax, but it could only be confirmed after direct visualization of the larynx on fibreoptic bronchoscopy and by taking biopsy from the epiglottis under direct visualization.


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