Esophageal atresia

Case contributed by Dr Sajoscha Sorrentino

Patient Data

Age: 1 day
Gender: Male
X-ray

There is a prominent gas-filled pouch in the upper mediastinum consistent with esophageal atresia. Gas in the stomach and bowel meaning that there must also be a fistula between the trachea and esophagus - a tracheoesophageal fistula.

Left-sided SVC with left-sided central line tip in the RA.

Case Discussion

This case demonstrates the typical appearance of a proximal esophageal atresia with distal fistula (tracheo-oesphageal fistula).

There is also a left-sided SVC and the two together increase the risk of associated abnormalities (e.g. cardiac anomalies) as a part of VACTERL.

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