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CC BY-NC-ND 4.0 · AJP Rep 2022; 12(01): e76-e79
DOI: 10.1055/s-0041-1741538
Case Report

Bedside Ultrasonography in Evaluating Mediastinum Leakage in an Extremely-Low-Birth-Weight Infant with Esophageal Perforation

Mitsuhiro Haga 
1   Department of Neonatology, Saitama Children's Medical Center, Saitama, Saitama, Japan
2   Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan
,
Yumiko Sato
3   Department of Radiology, Saitama Children's Medical Center, Saitama, Saitama, Japan
,
Tomo Kakihara
4   Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Saitama, Japan
5   Department of Pediatric Surgery, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan
,
Wakako Sumiya
1   Department of Neonatology, Saitama Children's Medical Center, Saitama, Saitama, Japan
,
Masayuki Kanno
1   Department of Neonatology, Saitama Children's Medical Center, Saitama, Saitama, Japan
,
Tetsuya Ishimaru 
4   Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Saitama, Japan
,
Masaki Shimizu
1   Department of Neonatology, Saitama Children's Medical Center, Saitama, Saitama, Japan
,
Hiroshi Kawashima
4   Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Saitama, Japan
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Abstract

Esophageal perforation in premature infants is a life-threatening condition that requires prompt treatment. Contrast-enhanced computed tomography (CECT) is recommended for diagnosis. However, it is difficult to obtain CECT images in premature infants because of their unstable conditions. We encountered a case of esophageal perforation in an extremely-low-birth-weight female infant. Bedside ultrasonography was useful in the diagnosis and follow-up evaluation of leakage in the mediastinum. Ultrasonography can be a useful modality for the evaluation of perforation of the lower part of the esophagus in premature infants.

Keywords

esophageal perforation - mediastinum leakage - ultrasonography - extremely-low-birth-weight infant


Publication History

Received: 01 February 2021

Accepted: 13 April 2021

Article published online:
04 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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