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.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.004 | 0.002 |
| Meta-epidemiology (broad) | 0.003 | 0.002 |
| Bibliometrics | 0.005 | 0.004 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.007 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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 source (direct Gemma or distilled Codex), 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".