Long proximal pouch oesophageal atresia with tracheo-oesophageal fistula, a diagnostic dilemma: case report

نویسندگان

چکیده

Abstract Background Oesophageal atresia is a congenital abnormality commonly encountered in neonates. Classification proposed by Gross the most frequently used. It divides oesophageal anomalies into five types. Type C—proximal and distal tracheo-oesophageal fistula—is common. Dafoe Ross described rare subtype with long proximal pouch. Only 11 cases of pouch have been reported English literature so far. We describe neonate fistula emphasizing difficulty arriving at diagnosis. Case presentation A 1-week-old presented feed intolerance failure to advance orogastric tube stomach. Water soluble upper gastrointestinal tract contrast revealed blind ending oesophagus level diaphragm. Gastric volvulus was considered as Patient underwent laparotomy where normal stomach found. Bubbles were seen coming from fashioned gastrostomy each inspiration. This prompted us consider possibility missed fistula. Diagnosis confirmed on bronchoscopy right thoracotomy. The ligated cervical oesophagostomy Stamm performed due irreparable tear Conclusion poses diagnostic dilemma that can result delay diagnosis management. should be suspected if tip orogastric/feeding far below carina.

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ژورنال

عنوان ژورنال: Annals of Pediatric Surgery

سال: 2022

ISSN: ['2090-5394', '1687-4137']

DOI: https://doi.org/10.1186/s43159-021-00151-2