Abstract

FAJARDO-IDROBO, Blanca Viviana  and  BRAVO-LUNA, Lucy. Muerte perinatal por atresia laríngea: reporte de caso. Revista médica Risaralda [online]. 2023, vol.29, n.2, pp.155-162.  Epub Apr 08, 2024. ISSN 0122-0667.  https://doi.org/10.22517/25395203.25272.

Laryngeal atresia is a congenital malformation of the airway, which occurs due to the lack of recanalization of the laryngeal lumen during embryogenesis. The detection of characteristic sonographic features during pregnancy is required to consider this diagnosis. In this article we present the case of a 39.2-week gestation with poor prenatal controls and a single late gestational ultrasound that did not report abnormalities. At birth, the fetus was non-vigorous and hypotonic, with poor respiratory effort, oral cyanosis and Apgar scores of 4-4-0, for which it underwent resuscitation maneuvers with great difficulty in achieving ventilation and multiple failed endotracheal intubation attempts, although the medical staff indicates that despite identifying the vocal cords, it was impossible for them to pass the tube. Finally the newborn dies. Suspecting a malformation in the upper respiratory tract, request the pathology service to perform a clinical autopsy to confirm the cause of death.

Keywords : Larynx; laryngeal diseases; airway obstruction; perinatal death; congenital abnormalities; autopsy.

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