MyPACS.net: Radiology Teaching Files > Case 7807497

previously visited 061212 ESOPHAGEAL ATRESIA WITH TE FISTULA 2
Contributed by: pedrad CSH, Radiologist, Chung Shan Medical University Hospital, Taiwan.
Patient: 1 day old male
History: One day old male newborn (37+4wks), 2075gm.
Failure to insert nasogastric tube since birth.
Images:[small]larger

Fig. 1: Chest PA view, after NG tube

Fig. 2: KUB

Fig. 3: Esophageogram, PA view

Fig. 4: Esophageogram, lateral view

Fig. 5: Surgery, right chest wall approach

Fig. 6: Surgery, esophagus end (lower part)

Fig. 7: Surgery

Fig. 8: Surgery, after close of tracheo-esophageal fistula

Fig. 9: Post surgery (day 3), Chest PA view

Fig. 10: Post surgery (day 3), KUB
Findings: Figure 1,2(Chest,KUB):
1. Presence of dextrocardia.
2. S/P nasogastric tube with catheter tip in upper mediastinum.
   Please check it!
3. Much air retention in GI tract.

Figure 3,4(Esophageogram):
1. Contrast media stop in upper third esophageal pouch
   and normal gas in GI track, in favor of esophageal atresia
   with TE fistula.
2. Some contrast media in right bronchus, may due to choke
   during procedure.

Figure 5-8(Surgery):
1. Upper esophageal pouch was left intact and the tracheo-
   esophageal fistula was closed.

Figure 9,10(Post surgery Chest and KUB):
1. Air pouch-like upper third esophagus in superior mediastinum,
   compatible with esophageal atresia with tracheoesophageal
   fistula.
2. Decreased bowel gas, may due to post OP change.
3. Presence of dextrocardia.
Comments:
No comments posted.
Additional Details:

Case Number: 7807497Last Updated: 01-17-2007
Anatomy: Gastrointestinal (GI)   Pathology: Congenital
Modality: Conventional Radiograph, GI, PhotographAccess Level: Readable by all users
Keywords: esophagus, trachea, atresia, fistulaACR: 713.1435

The reader is fully responsible for confirming the accuracy of this content.
Text and images may be copyrighted by the case author or institution.
You can help keep MyPACS tidy: if you notice a case which is not useful (e.g. a test case) or inaccurate, please send email to alert@mypacs.net.