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An Important Step in Management of Intestinal Atresia

EDWARD J. BERMAN, M.D.; A. H. LALONDE, M.D.
Arch Surg. 1962;85(2):348-350. doi:10.1001/archsurg.1962.01310020178032.
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It is well and rightly recognized that a single case should not form the basis of a paper. When, however, a single case illustrates a particular point either unrecognized or needing emphasis, it is a different matter.

With this brief apology we submit the following single case to illustrate the need for passing a No. 8 French catheter (or reasonable substitute) as far as possible distal and proximal to any point of intestinal atresia or stenosis. It is not enough to check the bowel's patency with fluid alone.

Report of a Case  A baby girl weighed 6 lb. 10½ oz. (about 3,019 gm.) at birth. The mother was a para 2, gravida 3, and except for slight polyhydramnios with meconium staining, the delivery was considered normal. The patient started to vomit every feeding after birth, and the vomitus was green in color. Pediatric surgical consultation was requested when the child

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