Tracheo-esophageal fistula - distal fistula

Case contributed by Dr Jeremy Jones

Presentation

Presented with failure to tolerate feeds. Losing weight. Normal pre-natal US. Normal pregnancy and delivery.

Patient Data

Age: 3 days
Gender: Male

There is a coiled NG tube in the upper esophagus. Gas in stomach and proximal small bowel. Lungs are well expanded and clear. Appearances are suggestive of a TOF-OA with distal fistula (the commonest type)

The NG tube has been removed and a Replogle tube has been inserted.

Case Discussion

Appearances of congenital tracheo-esophageal fistula. Esophageal atresia with distal tracheo-esophageal fistula is the commonest type making up 85% of all TOF-OA.

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