Clinical presentation and diagnostic work-up of isolated oesophageal lung in a neonate

摘要

A term female baby presented with respiratory distress at the age of 30 min. Chest X-ray revealed suspicion of pneumonia; antibiotic therapy was started (figure 1). On day 7 of life, the infant developed respiratory insufficiency. Chest X-ray showed complete opacification of the right hemithorax with positive air bronchogram. Ultrasonography of the mediastinum showed no vascular sling and bronchoscopy showed no malformation. CT revealed suspicion of high-grade stenosis of the bronchial system. Contrast examination of the oesophagus showed that the main right bronchus was connected to the distal third of the oesophagus (figure 2). The patient was transferred to a specialised surgical centre for tracheobronchial reconstruction.