The successful management of a neonate presenting with oesophageal atresia and a distal tracheo‐oesophageal fistula on the twelfth day of life is described. This case is the most delayed diagnosis associated with survival known to have been reported. There were significant pulmonary complications at presentation and initial treatment was by gastrostomy under local anaesthesia, followed by a delayed primary repair.
A case of congenital lobar emphysema associated with pulmonary sequestration, presenting with respiratory distress in infancy, is reported. The lobar hyperinflation was managed by emergency lobectomy. The ipsilateral lower lobe affected with vascular sequestration was salvaged by therapeutic embolization, thus avoiding the long-term sequelae of pneumonectomy. The case is reported for its rarity.
The possibility of intestinal lymphoma should be kept in mind when operating upon an immunodeficient child with an intestinal perforation without apparent reason; the phenomenon can recur during the post-operative period without being recognized early.
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