Findings: Skull (Figure 1):
1. Post nasogastric tube with looped catheter in upper third
esophagus, may due to esophageal atresia.
Chest and KUB (Figure 2,3):
1. Post nasogastric tube with looped catheter in upper third
esophagus and air retention in GI tract, suggesting
esophageal atresia with tracheoesophageal fistula.
2. Much air retention in stomach and proximal duodenum but
minimal distal bowel gas, in favor of duodenal stenosis
with unknown etiology.
3. Increased infiltration in both lungs, predominant over
right upper lobe, may due to inflammatory process.
4. Recommendation: Further evaluation with color Doppler
ultrasound or MRI to exclude midgut volvulus and other
detectable possibility. Thank you!
Esophageogram (Figure 4):
1. Contrast media stop in upper third esophageal pouch,
in favor of esophageal atresia
Barium enema (Figure 5):
1. No detectable anomaly. No evidence of intestinal
malrotation from this study.
CT with oral and IV contrast (Figure 6-17):
1. History of esophageal atresia with tracheoesophageal fistula,
S/P surgery with nasogastric tube.
2. Relative dilatation of stomach and proximal duodenum with
some contrast media in distal bowel, in favor of duodenal
stenosis.
3. Well demonstration of superior mesenteric artery and vein
without twisting, midgut volvulus is not likely.
4. No grossly abnormal finding in pancreas, annular pancreas is
not favored although poor image resolution due to too small
size of patient.
5. Focal windsock dilatation of 2nd/3rd portion of duodenum with
air containing, duodenal web may be compatible.
Post operation Upper GI Series (Figure 18,19):
1. History of esophageal atresia, tracheoesophageal fistula,
and duodenal stenosis, S/P surgery.
2. Mild contrast stasis in upper esophagus, due to post operation
esophageal strnosis.
3. Patency of deudenum.