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Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report

INTRODUCTION: Tracheal agenesis is a very rare congenital airway anomaly. It may pose a great challenge to the first attending physician both in diagnosis and in establishing the airway during the first day of life. CASE PRESENTATION: We report a newborn Malay baby boy with trachea agenesis (type II...

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Autores principales: Ahmad, Raja, Abdullah, Kahairi, Mokhtar, Lukman, Fadzil, Ahmad
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2783046/
https://www.ncbi.nlm.nih.gov/pubmed/19946583
http://dx.doi.org/10.1186/1752-1947-3-105
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author Ahmad, Raja
Abdullah, Kahairi
Mokhtar, Lukman
Fadzil, Ahmad
author_facet Ahmad, Raja
Abdullah, Kahairi
Mokhtar, Lukman
Fadzil, Ahmad
author_sort Ahmad, Raja
collection PubMed
description INTRODUCTION: Tracheal agenesis is a very rare congenital airway anomaly. It may pose a great challenge to the first attending physician both in diagnosis and in establishing the airway during the first day of life. CASE PRESENTATION: We report a newborn Malay baby boy with trachea agenesis (type III by Floyd's classification) who presented with severe respiratory distress immediately after birth. Clinical diagnosis in this case was not straightforward, as it started with difficulty in intubation followed by an unsuccessful emergency tracheostomy in the neonatal intensive care unit. Urgent surgical neck exploration with endoscopic examination in the general operating theatre revealed the final diagnosis. The authors present a short description of the embryopathology and diagnostic criteria of the abnormality. CONCLUSION: We hope this case presentation will be valuable in increasing the awareness of physicians about this rare cause of tracheal obstruction or difficult intubation.
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spelling pubmed-27830462009-11-26 Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report Ahmad, Raja Abdullah, Kahairi Mokhtar, Lukman Fadzil, Ahmad J Med Case Reports Case report INTRODUCTION: Tracheal agenesis is a very rare congenital airway anomaly. It may pose a great challenge to the first attending physician both in diagnosis and in establishing the airway during the first day of life. CASE PRESENTATION: We report a newborn Malay baby boy with trachea agenesis (type III by Floyd's classification) who presented with severe respiratory distress immediately after birth. Clinical diagnosis in this case was not straightforward, as it started with difficulty in intubation followed by an unsuccessful emergency tracheostomy in the neonatal intensive care unit. Urgent surgical neck exploration with endoscopic examination in the general operating theatre revealed the final diagnosis. The authors present a short description of the embryopathology and diagnostic criteria of the abnormality. CONCLUSION: We hope this case presentation will be valuable in increasing the awareness of physicians about this rare cause of tracheal obstruction or difficult intubation. BioMed Central 2009-11-04 /pmc/articles/PMC2783046/ /pubmed/19946583 http://dx.doi.org/10.1186/1752-1947-3-105 Text en Copyright ©2009 Ahmad et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Ahmad, Raja
Abdullah, Kahairi
Mokhtar, Lukman
Fadzil, Ahmad
Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report
title Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report
title_full Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report
title_fullStr Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report
title_full_unstemmed Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report
title_short Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report
title_sort tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2783046/
https://www.ncbi.nlm.nih.gov/pubmed/19946583
http://dx.doi.org/10.1186/1752-1947-3-105
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