Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2017  |  Volume : 22  |  Issue : 4  |  Page : 254--256

Kluth type IV3 membranous esophageal atresia at middle one-third of esophagus: An extremely rare entity


Rahul Gupta, Pramila Sharma, Arvind Kumar Shukla, Sunil Mehra 
 Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Rahul Gupta
Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan
India

We herein present an extremely rare case of an isolated membranous atresia causing near-complete obstruction of the esophagus. The neonate presented with drooling of saliva and frothing from the mouth. A red rubber catheter met with an obstruction at 12 cm from the gum margins. Radiograph showed paucity of gas in the abdomen. Thoracotomy revealed external continuity of esophagus; dilated and elongated proximal segment constituting upper half of esophagus, and a membrane with tiny opening in the center, at its junction with narrow distal segment. Excision was performed. A high index of suspicion for membrane should be kept in dealing with esophageal obstruction beyond 10 cm from the gum margins, particularly those with paucity of abdominal gas pattern or gasless abdomen.


How to cite this article:
Gupta R, Sharma P, Shukla AK, Mehra S. Kluth type IV3 membranous esophageal atresia at middle one-third of esophagus: An extremely rare entity.J Indian Assoc Pediatr Surg 2017;22:254-256


How to cite this URL:
Gupta R, Sharma P, Shukla AK, Mehra S. Kluth type IV3 membranous esophageal atresia at middle one-third of esophagus: An extremely rare entity. J Indian Assoc Pediatr Surg [serial online] 2017 [cited 2021 Dec 5 ];22:254-256
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2017;volume=22;issue=4;spage=254;epage=256;aulast=Gupta;type=0