Double congenital esophageal bronchus with microgastria: a case report
Bibliographic record
Abstract
Congenital esophageal bronchus (CEB) is a rare malformation sometimes associated with microgastria and/or other congenital anomalies. It may present later in life with recurrent pulmonary symptoms. A term baby was born with an antenatal diagnosis of multiple congenital anomalies including absence of stomach bubble, congenital heart disease and a lumbosacral cystic lesion. Post natal diagnosis confirmed dextrocardia, unbalanced atrioventricular canal defect with hypoplastic right ventricle and pulmonary stenosis, situs inversus totalis, asplenia, and abnormal lumbar and sacral vertebrae with a skin covered lipomyelomeningocele. After birth, an orogastric tube was placed to 15 cm, which on chest x-ray (CXR) stopped at the lower 1/3 of the esophagus. Gas was seen in the abdomen. A contrast study demonstrated microgastria, a gastroesophageal junction (GEJ) within the chest, and a CEB. The CXR was suspicious for a lesion in the lower left lobe (LLL); CT-angiogram confirmed no airway or systemic blood vessels to the LLL. Esophagoscopy revealed an elevated, tight GEJ and 2 distal openings towards the lung. A thoracotomy was performed at 3 weeks of age to close the CEB and resect the LLL; a chest tube was left in situ. Feeds were initiated 1 week after surgery when a contrast study revealed no leak. The baby is tolerating full bolus feeds and at 3 months of age remains in hospital awaiting cardiac surgery. CEB is a rare anomaly and should be considered when a nasogastric tube cannot be advanced easily, particularly in the setting of multiple congenital anomalies.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".