[Case of XXXX found during surgery].

@entity1 @entity4501 @entity649 @entity9933 @entity1146
We reported a case of @entity9933 ( @entity9933 ) that was diagnosed during surgery. A female @entity1 , weighing 1,104 g, was born at the 29 weeks of gestation. She showed severe @entity649 without crying. Oxygenation was improved by mask ventilation, but tracheal intubation was very difficult. @entity4501 ( @entity4501 ) was suspected because significant amount of air from nasogastric tube was noticed. Physical examination and X-ray findings suggested Gross E type @entity4501 , duodenal @entity1146 and cloaca. On the second day of life, ligation of TEE gastrostomy and colostomy were scheduled. Although operation was started without problems, ventilation became impossible when @entity4501 was clamped and release of clamping made it possible. Bronchoscopic investigation revealed that tracheal tube was located in the esophagus. We have never doubted the esophageal intubation, because @entity1 was ventilated preoperatively and signs of @entity649 were successfully treated by the surfactant replacement therapy through tracheal tube. Type II @entity9933 according to Floyd's classification was diagnosed by bronchoscopic and echographic investigations. Distal esophageal ligation, gastrostomy and esophagostomy were performed. She died on the 12th day of life in spite of vigorous ventilatory and cardiovascular support.
