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previously visited 061212 ESOPHAGEAL ATRESIA WITH TE FISTULA 2 Random Case
Authored 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.
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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
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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: post a comment

Q: Why end to end anastomosis was not performed to the patient?
A: We may use staged operation due to esophageal ends not close enough for primary repair.


By Dr. Wu

--pedrad CSH, 2007-01-17 00:34:31
Additional Details:

Case Number: 7807497Last Updated: 02-19-2007
Rating:

0 ratings
Anatomy: Gastrointestinal (GI)   Pathology: Congenital
Modality: Conventional Radiograph, GI, PhotographAccess Level: Readable by all users
Keywords: esophagus, trachea, atresia, fistulaACR: 713.1435Contained in: ahmeeed
Case has been viewed 1272 times.

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