Oesophageal atresia

Case contributed by Dr Hidayatullah Hamidi

Presentation

Inability to swallow milk, aspiration during feedings. Failure to pass orogastric tube to stomach.

Patient Data

Age: 2 days
Gender: Male
Fluoroscopy

Plain film shows orogastric tube not passing to the stomach, instead it is turning back superiorly.

After injection of non-ionic water soluble contrast material in the orogastric tube, there is no evidence of passage of contrast to the middle and distal esophagus. The proximal esophagus is dilatation.

Aspiration of contrast is noted from the level of epiglottis rather than proximal tracheo-esophageal fistula.

No distal gas is noted in the stomach, excluding the possibility of distal fistula.

Case Discussion

Isolated oesophageal atresia (type A) occurs in approximately 8% of cases of oesophageal atresia. In this entity there is no proximal or distal fistula with the trachea. The possibility of distal distal tracheo-oesophageal fistula can be excluded when there is no distal gas in the gastrointestinal tract.

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Case information

rID: 55134
Case created: 21st Aug 2017
Last edited: 9th Nov 2017
System: Paediatrics
Inclusion in quiz mode: Included
Institution: French Medical Institute for Mothers and Children

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