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DOI: 10.1055/a-2227-6389
Missed Proximal Tracheoesophageal Fistula (TEF) in a Neonate with Type D Esophageal Atresia
Funding None.![](https://www.thieme-connect.de/media/10.1055-s-00024358/202401/lookinside/thumbnails/10-1055-a-2227-6389_2023050712cr-1.jpg)
Abstract
We present the case of a patient with the rare type D esophageal atresia (EA), diagnosed after correction of an EA initially diagnosed as type C. Routine postoperative contrast esophagogram showed a missed proximal tracheoesophageal fistula. This case report illustrates the potential difficulties to diagnose type D EA.
Note
This case report illustrates the potential difficulties to diagnose type D EA. It underscores the value of additional diagnostic tools, such as contrast esophagogram, bronchoscopy, and esophagoscopy, in the assessment of patients with suspicion of a recurrent or missed proximal fistula after initial EA repair.
Publication History
Received: 26 May 2023
Accepted: 10 December 2023
Accepted Manuscript online:
13 December 2023
Article published online:
10 January 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
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References
- 1 Ardenghi C, Vestri E, Costanzo S. et al. Congenital esophageal atresia long-term follow-up-the pediatric surgeon's duty to focus on quality of life. Children (Basel) 2022; 9 (03) 331
- 2 Pini Prato A, Carlucci M, Bagolan P. et al. A cross-sectional nationwide survey on esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 2015; 50 (09) 1441-1456
- 3 Evanovich DM, Wang JT, Zendejas B, Jennings RW, Bajic D. From the ground up: esophageal atresia types, disease severity stratification and survival rates at a single institution. Front Surg 2022; 9: 799052
- 4 Piro E, Schierz IAM, Giuffrè M. et al. Etiological heterogeneity and clinical variability in newborns with esophageal atresia. Ital J Pediatr 2018; 44 (01) 19
- 5 Parolini F, Boroni G, Stefini S, Agapiti C, Bazzana T, Alberti D. Role of preoperative tracheobronchoscopy in newborns with esophageal atresia: A review. World J Gastrointest Endosc 2014; 6 (10) 482-487
- 6 Lal DR, Gadepalli SK, Downard CD. et al; Midwest Pediatric Surgery Consortium. Perioperative management and outcomes of esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 2017; 52 (08) 1245-1251
- 7 Karnak I, Senocak ME, Hiçsönmez A, Büyükpamukçu N. The diagnosis and treatment of H-type tracheoesophageal fistula. J Pediatr Surg 1997; 32 (12) 1670-1674
- 8 Boybeyi-Turer O, Soyer T. Tracheoesophageal fistula after esophageal atresia repair: recurrent, missed or acquired. Curr Chall Thorac Surg 2022; 4: 26-26
- 9 Parolini F, Morandi A, Macchini F. et al. Esophageal atresia with proximal tracheoesophageal fistula: a missed diagnosis. J Pediatr Surg 2013; 48 (06) E13-E17
- 10 Guo W, Li Y, Jiao A, Peng Y, Hou D, Chen Y. Tracheoesophageal fistula after primary repair of type C esophageal atresia in the neonatal period: recurrent or missed second congenital fistula. J Pediatr Surg 2010; 45 (12) 2351-2355
- 11 Rice-Townsend S, Ramamoorthy C, Dutta S. Thoracoscopic repair of a type D esophageal atresia in a newborn with complex congenital heart disease. J Pediatr Surg 2007; 42 (09) 1616-1619