Preterm Infant with Congenital Tracheal Diverticulum in the Presence of Esophageal Atresia and Tracheoesophageal Fistula

Authors

  • Alessandra Glover Williams Royal United Hospital Bath
  • Janet McNally Bristol Royal Hospital for Children
  • Julian Gaskin Bristol Royal Hospital for Children
  • Ela Chakkarapani St Michael's Neonatal Unit, Bristol

DOI:

https://doi.org/10.21699/jns.v7i4.741

Keywords:

Infant, Newborn, Tracheoesophageal Fistula, Esophageal atresia

Abstract

A 32+4-week-preterm neonate was operated on day 1 for esophageal atresia with tracheoesophageal fistula with a tight primary anastomosis and closure of a tracheoesophageal fistula. Postoperatively, he needed ventilation for 6 days. Post-extubation, he needed continuous positive airway pressure support for increased work of breathing, increasing oxygen requirement, and respiratory acidosis when respiratory support was weaned. Further, during the post-operative period, he had right hemidiaphragmatic paresis and acute lifethreatening events requiring manual high-pressure, non-invasive positive pressure ventilation resuscitation. These complications were considered, and a computed tomography assisted by three-dimensional reconstruction was performed. This revealed a congenital tracheal diverticulum and severe tracheomalacia which was confirmed with microlaryngoscopy and bronchoscopy. The presentation and the diagnostic dilemma surrounding this rare diagnosis are discussed in this case report.

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Author Biographies

Alessandra Glover Williams, Royal United Hospital Bath

General Paediatric Registrar

Janet McNally, Bristol Royal Hospital for Children

Consultant Paediatric General Surgeon

Julian Gaskin, Bristol Royal Hospital for Children

Consultant ENT Surgeon

Ela Chakkarapani, St Michael's Neonatal Unit, Bristol

Consultant Neonatologist

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Published

2018-10-06

How to Cite

1.
Glover Williams A, McNally J, Gaskin J, Chakkarapani E. Preterm Infant with Congenital Tracheal Diverticulum in the Presence of Esophageal Atresia and Tracheoesophageal Fistula. J Neonatal Surg [Internet]. 2018Oct.6 [cited 2020Sep.21];7(4):44. Available from: http://www.jneonatalsurg.com/ojs/index.php/jns/article/view/396

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