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previously visited 061212 ESOPHAGEAL ATRESIA WITH TE FISTULA Random Case
Authored By: pedrad CSH, Radiologist, Chung Shan Medical University Hospital, Taiwan.
Patient: 1 day old female
History:

One day old female newborn born via C/S (39+2wks).

Polyhydramnion, spontaneous premature rupture of membrane.

Images:small[medium]largeas-submittedimages only

Fig. 1: Chest PA view

Fig. 2: KUB

Fig. 3: Chest PA view, after NG tube

Fig. 4: Chest lateral view, after NG tube

Fig. 5: Whole body

Fig. 6: Esophageogram PA view

Fig. 7: Esophageogram lateral view

Fig. 8: Surgery, right lateral chest wall approach

Fig. 9: Surgery

Fig. 10: Surgery, after end to end anastomosis

Fig. 11: Esophageogram PA view, post surgery
Images:small[medium]largeas-submittedimages only
Findings: Figure 1,2(Chest and KUB):
1. Air densities in relative wide superior mediastinum,
   possibly associated with esophageal atresia with distended
   esophageal pouch.
2. Presence of stomach gas in left upper abdomen,
   tracheoesophageal fistula can not be excluded.
Figure 3,4(Chest PA and lateral):
1. S/P nasogastric tube with looped catheter in upper third
   esophagus and much air retention in GI tract, suggesting
   esophageal atresia with tracheoesophageal fistula.
Figure 5(Wholr body):
1. No bony deformity in whole body and extremities.
Figure 6,7(Esophageograms):
1. Contrast media stop in upper third esophagus with
   distal obstruction, in favor of esophageal atresia.
Figure 8-10(Operation photograms):
1. End to end anastomosis from right lateral chest wall
   approach.
Figure 11(Post OP esophageogram):
1. Mild stenosis over anastomosis without leakage.
Diagnosis: Esophageal atresia with TE fistula
Comments: post a comment

Q: What is the presentation of Esophageal atresia with TE fistula?

A:

1. Excessive oral and pharyngeal secretions or choking

2. Poor feeding since birth (cyanosis or coughing during first attempt at feeding)

3. Failure to pass enteric tube into stomach

By Dr. Tsao

--pedrad CSH, 2007-01-14 20:16:14
Additional Details:

Case Number: 7779119Last Updated: 02-19-2007
Rating:

0 ratings
Anatomy: Gastrointestinal (GI)   Pathology: Congenital
Modality: Conventional Radiograph, GI, PhotographAccess Level: Readable by all users
Keywords: esophagus, atresia, trachea, fistulaACR: 713.1435Contained in: ahmeeed, jmeehan284
Case has been viewed 1158 times.

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