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- W2547346778 abstract "A 31 week pregnant patient has been referred because of the appearance of a liquid collection behind the heart evocating esophagus filling. Sonography concluded to frequent pouch signs and atresia with fistula, further supported by MRI in his conclusion, seeing a liquid collection described as a pouch sign, but also evocating the possibility of laryngeal diastema. We had then to examine this patient. Amniotic fluid and stomach was normal. We saw an intermittent filling of the whole esophagus from the upper part to the lowest, unusual by its great diameter (10 mm). We could objectify the absence of communication between trachea and aorta (see figure). This could dismiss the possibility of fistula and also of diastema. The pressure was so important than oesophagus pushed laterally aorta with abdominal contractions. At moments the esophagus was empty, as we could differentiate its vacuity line and it's anterior portion particularly behind trachea. So we focused on diaphragm as we could see the emptying of the lowest part in stomach with a strong stream, pushing the fundus rolled into the hiatus (see figure). The main point of this presentation is to emphasise the fact than liquid seen in esophagus behind trachea is not enough for a diagnostic of pouch sign. We need to have a real stop of the liquid progression with a widening of the lowest extremity of the upper portion of the esophagus. In atresia more or less fistula we have generally the loss of the space between trachea and aorta, normally occupied by esophagus. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
- W2547346778 created "2016-11-11" @default.
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- W2547346778 date "2016-09-01" @default.
- W2547346778 modified "2023-09-23" @default.
- W2547346778 title "EP10.13: Esophagus too large: only fistula?… Think about hiatal hernia!! Especially if its lower portion is concerned" @default.
- W2547346778 doi "https://doi.org/10.1002/uog.16914" @default.
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