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Spontaneous rupture of the esophagus in the newborn

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Abstract

Two cases of neonatal spontaneous rupture of the esophagus are described, one of which is associated with a duodenal stenosis. Seventeen cases have been reported. They present clinically with non-specific signs of respiratory insufficiency and radiologically by a right-sided hydropneumothorax. Esophageal opacification shows a leak above the diaphragm. A sudden increase in esophageal pressure at birth is considered to be a major etiologic factor leading to rupture. The presence of a duodenal obstruction support this hypothesis.

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Dubos, J.P., Bouchez, M.C., Kacet, N. et al. Spontaneous rupture of the esophagus in the newborn. Pediatr Radiol 16, 317–319 (1986). https://doi.org/10.1007/BF02386871

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