Abstract
Thirty one cases of pharyngeal pseudodiverticulum have been reported in the literature; twenty nine were diagnosed during the neonatal period. Respiratory distress, increased oral secretions, difficulty with feeding and the impossibility of passing a nasogastric catheter were the most common symptoms and/or signs. Pneumomediastinum, pneumothorax, cervical emphysema and ectopic location of a feeding catheter, alone or in combination, were identified in the chest roentgenograms of 16 patients. Esophagography and/or endoscopy were the diagnostic methods of choice. The exact location of the perforation was identified in 18 patients. Most of the perforations were in either the posterior pharyngeal wall or in the pyriform sinuses. The survival rate was as good amongst the medically treated patients as in those who underwent surgery.
Similar content being viewed by others
References
Armstrong, R. G., Lindberg, E. F., Stanford, W., Takamoto, R. M., Wolfe, R. D., Dietz, J. W.: Traumatic pseudodiverticulum of the esophagus in the newborn infant. Surgery67, 844 (1970)
Astley, R., Roberts, K. D.: Intubation perforation of the esophagus in the newborn baby. Br. J. Radiol.43, 219 (1970)
Brintnall, E. S., Kridelbaugh, W. W.: Congenital diverticulum of the posterior hypopharynx simulating atresia of the esophagus. Ann. Surg.131, 564 (1950)
Ducharme, J. C., Bertrand, R., Debie, J.: Perforation of the pharynx in the newborn. A condition mímicking esophageal atresia. Can. Med. Assoc. J.104, 785 (1971)
Edison, B., Holinger, P.: Traumatic pharyngeal pseudodiverticulum in the newborn infant. J. Pediatr.82, 483 (1973)
Eklöf, O., Lohr, G., Okmian, L.: Submucosal perforation of the esophagus in the neonate. Acta Radiol. [Diagn.] (Stockh.)8, 187 (1969)
Espinosa, H., Garcia de Paredes, C.: Traumatic perforation of the pharynx in a newborn baby. J. Pediatr. Surg.9, 247 (1974)
Girdany, B. R., Sieber, W. K., Osman, M. Z.: Traumatic pseudodiverticulum of the pharynx in newborn infants. N. Engl. J. Med.280, 237 (1969)
Gwinn, J. L., Lee, F. A.: Radiological case of the month. Pseudodiverticulum of the pharynx. Am. J. Dis. Child121, 329 (1971)
Heller, R. M., Kirchner, S. G., O'Neill, J. A.: Perforation of the pharynx in the newborn: A near look alike for esophageal atresia. Am. J. Roentgenol.129, 335 (1977)
Kassner, E. G., Baumstark, A., Balsam, D., Haller, J. O.: Passage of feeding catheters into the pleural space: A radiographic sign of trauma to the pharynx and esophagus in the newborn. Am. J. Roentgenol.128, 19 (1977)
Lee, S. B., Kuhn, J. P.: Esophageal perforation in the neonate. Am. J. Dis. Child.130, 325 (1976)
Lynch, F. P., Coran, A. G., Seymour, R. C., Lee, F. A.: Traumatic esophageal pseudodiverticula in the newborn. J. Pediatr. Surg.9, 675 (1974)
Osman, M. Z., Girdany, B. R.: Traumatic pseudodiverticulum of the pharynx in infants and children. Ann. Radiol. (Paris)16, 143 (1973)
Sidaway, M.: Duplication of the esophagus. Ann. Radiol. (Paris)7, 400 (1964)
Toulokian, R. J., Beardsley, G. P., Ablow, R. C., Effmann, E. L.: Traumatic perforation of the pharynx in the newborn. Pediatrics59, 1019 (1977)
Wells, S. D., Leonidas, J. C., Conkle, D., Holder, T. M., Amoury, R. A., Ashcraft, K. W.: Traumatic prevertebral pharyngoesophageal pseudodiverticulum in the newborn infant. J. Pediatr. Surg.9, 217 (1974)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lucaya, J., Herrera, M. & Salcedo, S. Traumatic pharyngeal pseudodiverticulum in neonates and infants. Pediatr Radiol 8, 65–69 (1979). https://doi.org/10.1007/BF00973993
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00973993