Esophageal atresia

Case contributed by Ahmed Jabbar Ramadhan Al-Dawoodi
Diagnosis almost certain

Presentation

2 hour old neonate presented with excessive frothy secretion from mouth along with cyanosis

Patient Data

Age: Neonate
Gender: Female
x-ray

Tube coil is evident in the proximal esophageal pouch and failed to descend to the stomach. There is bowel gas in the visualized upper abdomen suggestive of distal tracheoesophageal fistula.

Case Discussion

Esophageal atresia is usually diagnosed by inserting a nasogastric tube through the nose or mouth which will coil in the proximal pouch. 

In this case, the patient had clinical picture of esophageal atresia (excessive frothy secretion from mouth and cyanosis). A radiodense tube failed to reach the stomach and coiled in the proximal pouch.

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