2009
DOI: 10.1002/ppul.20987
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Intermittent gaseous bowel distention: Atypical sign of congenital tracheoesophageal fistula

Abstract: Three girls, 5-, 9-, and 15-year-old, were evaluated for recurrent airway infections and pneumonia. Chest X-rays, which included the upper portion of the abdomen, showed marked gaseous bowels distention, while computed tomography scans of the chest demonstrated the presence of tracheoesophageal fistula (TEF), confirmed by fiberoptic bronchoscopy. Abdominal gaseous distension, a known possible clinical manifestation of TEF in the neonatal period generated by airflow through the fistula into the oesophagus, has … Show more

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Cited by 6 publications
(8 citation statements)
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“…The coughing, choking and cyanosis during feeding is considered the classical "three Cs" of H-type fistulas by some authors (14,15). During feeding, esophageal content tends to move into the trachea under the pressure gradient generated by esophageal contractions (16). Liquids cause greater difficulty than solids.…”
Section: Signs and Symptomsmentioning
confidence: 99%
“…The coughing, choking and cyanosis during feeding is considered the classical "three Cs" of H-type fistulas by some authors (14,15). During feeding, esophageal content tends to move into the trachea under the pressure gradient generated by esophageal contractions (16). Liquids cause greater difficulty than solids.…”
Section: Signs and Symptomsmentioning
confidence: 99%
“…It is sporadically reported in the current literature in small series (8). Almost all patients are diagnosed within the first three years of life, most of the cases being recognized before the age of 12 months, respectively in the neonatal period (4,9), while H-type TOF is rarely diagnosed beyond childhood and even more limited in adult surgical experience (10,11).…”
Section: Discussionmentioning
confidence: 99%
“…The clinical key points for H-TOF diagnosis are classical and they are represented by coughing or paroxysmal choking during feeding, pneumopathy or history of pneumopathy, repeated cyanosis and, infrequently, abdominal distension (4,5), which are often intermittent and they are related to fistula size, co-existence of respiratory effort or endotracheal intubation anesthesia (3,9).…”
Section: Discussionmentioning
confidence: 99%
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“…This section briefly describes the compressions and dislocations of the tracheobronchial tree produced by anomalous anatomical relations, as in the case of the double aortic arch [54] or dilatation of the heart or pulmonary vessels in a setting of congenital heart defects. These cases can now be studied by MDCT and/or MR imaging.…”
Section: Anomalie Vascolarimentioning
confidence: 99%