Document Detail

Tracheal agenesis and esophageal atresia with proximal and distal bronchoesophageal fistulas.
MedLine Citation:
PMID:  18675618     Owner:  NLM     Status:  MEDLINE    
Tracheal agenesis (TA) is an extremely rare, typically fatal congenital tracheal malformation. Lack of prenatal symptoms and emergent presentation usually lead to a failure to arrive at the correct diagnosis and manage the airway properly before the onset of irreversible cerebral anoxia. Esophageal atresia (EA) encompasses a group of congenital anomalies comprising an interruption of the continuity of the esophagus with or without a persistent communication with the trachea. In 86% of cases, there is a distal tracheoesophageal fistula (TEF); in 7%, there is no fistulous connection, whereas in 4%, there is a TEF without atresia. We report the case of an infant born with TA and EA with proximal and distal bronchoesophageal fistulas. During 3 consecutive antenatal ultrasound examinations, there had been polyhydramniosis, difficulty visualizing the stomach, and dilatation of proximal esophagus, leading to a presumptive diagnosis of EA. The clinical presentation, embryology, classification, and surgical management are discussed.
Mehmet Demircan; Tugrul Aksoy; Canan Ceran; Ayse Kafkasli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  43     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-11-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1-3     Citation Subset:  IM    
Department of Pediatric Surgery, Inonu University, Medical School, 44315 Malatya, Turkey.
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MeSH Terms
Abnormalities, Multiple / diagnosis,  surgery*
Bronchial Fistula / diagnosis,  surgery*
Esophageal Atresia / diagnosis,  surgery*
Esophageal Fistula / diagnosis,  surgery*
Fatal Outcome
Heart Arrest / therapy
Infant, Newborn
Intraoperative Complications / diagnosis,  therapy
Risk Assessment
Trachea / abnormalities*
Tracheal Diseases / congenital,  surgery

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