Presentation
Thick mucus secretions after feeding since birth. TOF?
Patient Data
Age: 1 day
Gender: Female
From the case:
Congenital tracheo-esophageal fistula
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/133642/annotated_viewer_json?lang=us"}
Feeding tube coiled multiple times in upper esophagus.
No tracheal air column.
Lungs clear.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/135948/annotated_viewer_json?lang=us"}
Feeding tube tip at T2.
Lungs clear.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/135949/annotated_viewer_json?lang=us"}
Rotated.
Feeding tube tip at DJ flexure.
Lungs clear. Tracheal air colum normal
Case Discussion
The imaging immediately after birth are consistent with a tracheo-esophageal fistula (TOF).
The patient was transferred to a tertiary center. This was confirmed and operated on.
The final film is post surgery and after return to the origin peripheral hospital environment.