Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Pediatric Radiology
Published in: Pediatric Radiology 12/2018

01-11-2018 | Pictorial Essay

Imaging findings of iatrogenic pharyngeal and esophageal injuries in neonates

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

Published in: Pediatric Radiology | Issue 12/2018

Login to get access

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.
Literature
1.
Emil SG (2004) Neonatal esophageal perforation. J Pediatr Surg 39:1296–1298CrossRef
2.
Molitt DL, Schullinger JN, Santulli TV (1981) Selective management of iatrogenic esophageal perforation in the newborn. J Pediatr Surg 16:989–993CrossRef
3.
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.
Onwuka EA, Saadai P, Boomer LA, Nwomeh BC (2016) Nonoperative management of esophageal perforations in the newborn. J Surg Res 205:102–107CrossRef
5.
Hesketh AJ, Behr CA, Soffer SZ et al (2015) Neonatal esophageal perforation: nonoperative management. J Surg Res 198:1–6CrossRef
6.
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.
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.
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.
Knight RB, Webb DE, Coppola CP (2009) Pharyngeal perforation masquerading as esophageal atresia. J Pediatr Surg 44:2216–2218CrossRef
10.
Sapin E, Gumpert L, Bonnard A et al (2000) Iatrogenic pharyngoesophageal perforation in premature infants. Eur J Pediatr Surg 10:83–87CrossRef
11.
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.
Akel SR, Haddad FF, Hashim HA et al (1998) Traumatic injuries of the alimentary tract in children. Pediatr Surg 13:104–107CrossRef
13.
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.
Soong WJ (2007) Endoscopic diagnosis and management of iatrogenic cervical oesophageal perforation in extremely premature infants. J Chin Med Assoc 70:171–175CrossRef
Metadata
Title
Imaging findings of iatrogenic pharyngeal and esophageal injuries in neonates
Authors
Joel A. Wolf
Eliza H. Myers
Juan I. Remon
Einat Blumfield
Publication date
01-11-2018
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 12/2018
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-018-4208-7

Other articles of this Issue 12/2018

Pediatric Radiology 12/2018 Go to the issue

Obituary

Barry Davis Fletcher, MDCM (1935–2018)

Original Article

Ultrasound-based measurements of testicular volume in 6- to 16-year-old boys — intra- and interobserver agreement and comparison with Prader orchidometry

Commentary

Pediatric radiology mission work: opportunities, challenges and outcomes

Commentary

Pediatric radiology outreach — World Federation of Pediatric Imaging commentary on opportunities and challenges

Hermes

Hermes

Letter to the Editor

Another point of view on 2017 PRETEXT: reply to Pariente et al.