VATER: esophageal atresia, tracheo-esophageal fistula and radial ray anomalies

Discussion:

The heart is in the right hemithorax and a cause is needed.  There is right upper lobe collapse and mediastinal shift, but the apex is pointing right and features here are highly suggestive of dextrocardia.

In addition, there is a feeding tube coiled in a distended esophageal pouch highly suggestive of esophageal atresia. Since there is gas in the bowel, there must also be a tracheoesophageal fistula.

Where there is TOF/OA, go searching for vertebral anomalies (there are not any) and other anomalies. There is no evidence of distal bowel obstruction, but if you look at the right arm, there is an absent radius and absent thumb, which is part of the VATER association. 

    Create a new playlist
Loading...