Congenital tracheo-esophageal fistula

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Thick mucus secretions after feeding since birth. TOF?

Patient Data

Age: 1 day
Gender: Female

Feeding tube coiled multiple times in upper esophagus.

No tracheal air column.

Lungs clear.

Repeat tube insertion

x-ray

Feeding tube tip at T2.

Lungs clear.

6 weeks post surgery

x-ray

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.

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