Tracheoesophageal fistula with complex injury to the existing anomaly - Youngest neonate to survive: A case report

Authors

  • Namasivayam Selvarajan Kanchi Kamakoti CHILDS Trust Hospital, 12A Nageswara Road, Nungambakkam, Chennai 600034, India
  • Chandra Kumar Natarajan
  • Singaravelu Ramesh
  • Vanathi Vijayakumar
  • Saravana Balaji Muthukrishnan
  • Naga Srinivasa Uday Bhaskar Mokrala
  • Anis Akhtarkhavari

DOI:

https://doi.org/10.47338/jns.v10.940

Keywords:

Esophageal atresia, Tracheoesophageal fistula, Neonate, Preterm, Tracheoesophageal trauma

Abstract

Background: Complex injury to the esophagus, trachea, and tracheoesophageal fistula in a case of esophageal atresia is rarely reported that requires prompt identification and management.

Case Presentation: A very-low-birth-weight preterm with a tracheoesophageal fistula on ventilatory support for respiratory distress syndrome was transferred to our hospital. The baby developed air-leak through the tracheoesophageal fistula into the stomach causing gross distension of the stomach and reduction in oxygen saturation. Repositioning and reintubation failed to reduce the abdominal distension and to improve the saturation. Subsequent intubation with large volume, low pressure cuffed tube, and replacement of Replogle tube resulted in pneumothorax and further deterioration requiring emergency thoracotomy. Complex tracheoesophageal injury to the esophagus, trachea, and fistulous tract was repaired.

Conclusion: The baby survived the early repair of the tracheoesophageal fistula and the iatrogenic complex tracheoesophageal injury. Pre-operative tracheo-esophagoscopy with stenting of the fistula with Fogarty catheter helped to carry out a successful repair technically.

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Author Biography

Namasivayam Selvarajan, Kanchi Kamakoti CHILDS Trust Hospital, 12A Nageswara Road, Nungambakkam, Chennai 600034, India

Department of Pediatric Surgery

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Published

2021-03-29

How to Cite

1.
Selvarajan N, Natarajan CK, Ramesh S, Vijayakumar V, Muthukrishnan SB, Mokrala NSUB, Akhtarkhavari A. Tracheoesophageal fistula with complex injury to the existing anomaly - Youngest neonate to survive: A case report. J Neonatal Surg [Internet]. 2021Mar.29 [cited 2021Sep.25];10:17. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/940

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