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J Pediatr Surg. 2005 Oct;40(10):e11-3.

High-grade congenital esophageal stenosis owing to a membranous diaphragm with tracheoesophageal fistula.

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  • 1Third Department of Surgery, Tokyo Medical University, Tokyo 160-0023, Japan.


Gross E-type congenital esophageal atresia associated with congenital esophageal stenosis is extremely rare. In a male infant born at 36 weeks of gestation, bubbly vomiting was noted after birth. X-ray films of the chest and abdomen showed coil-up sign of the nasogastric tube and gas in the stomach and small intestines were recognized, so gross C-type esophageal atresia was suspected and surgery was performed on the first day of life. Surgery revealed the presence of a tracheoesophageal fistula in the upper esophagus and membranous stenosis on the distal side.

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