Esophageal atresia with tracheoesophageal fistula: A novel rare variant

Esophageal atresia (EA) is one of the most common congenital anatomical malformations that affect the alimentary tract and might be associated with the presence of tracheoesophageal fistula (TEF), and both occurs in about 1/2500 to 1/4000 live births. Depending on the anatomical description it is cl...

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Bibliographic Details
Published in:Journal of pediatric surgery case reports 2021-01, Vol.64, p.101691, Article 101691
Main Authors: Intissar, Chibani, Faouzi, Nouira, Yosra, Ben Ahmed, Mariam, Marzouki, Tarek, Boukesra, Awatef, Charieg, Said, Jlidi
Format: Article
Language:English
Subjects:
Classification
Esophageal atresia
Rare variant
Tracheoesophageal fistula
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Description
Summary:Esophageal atresia (EA) is one of the most common congenital anatomical malformations that affect the alimentary tract and might be associated with the presence of tracheoesophageal fistula (TEF), and both occurs in about 1/2500 to 1/4000 live births. Depending on the anatomical description it is classifies into subtypes and there are many reported variants other than those subtypes like esophageal webs and congenital esophageal stenosis (CES). Here we report a rare variant of EA with proximal TEF which although presented clinically and radiologically as type C (EA) with (TEF) but at thoracotomy it is proved to be a different rare anatomical variant were the esophagus is found to be continuous down to the stomach with no gap resembling a type E (TEF) but there is an atretic segment just 1 cm above a (TEF). This is the first Case described in the literature. The knowledge and the anticipation of such types of variations remains the cornerstone for proper management and a high index of suspicion is needed to aid not to miss such rare anomalies.
ISSN:2213-5766
2213-5766
DOI:10.1016/j.epsc.2020.101691