H-type tracheoesophageal fistula associated with tracheal bronchus: A case report

被引:1
作者
Gurung, Grisha [1 ,3 ]
Kansakar, Prerana [1 ]
Maharjan, Anu [2 ]
Pokhrel, Manish [2 ]
Acharya, Rasik [1 ]
Bhumika, G. C. [1 ]
Basnet, Ramesh [1 ]
机构
[1] Patan Acad Hlth Sci, Dept Pediat, Lalitpur, Nepal
[2] Patan Acad Hlth Sci, Dept Pediat Surg, Lalitpur, Nepal
[3] Patan Acad Hlth Sci, Lalitpur, Nepal
关键词
Case report; Esophagogram; Tracheal bronchus; Tracheoesophageal fistula;
D O I
10.1016/j.epsc.2023.102685
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Introduction: Tracheoesophageal fistula (TEF) is a condition with an abnormal connection between the trachea and the esophagus. Type H, which is a fistula without atresia of the esophagus, accounts for only 4% of all TEF. It manifests as cyanosis, choking during breastfeeding, abdominal distention, and recurrent lung infections. It is frequently overlooked in infancy because the clinical picture is non-specific. A tracheal bronchus, also known as "pig bronchus", is a bronchus that comes off the trachea before the carina, and has a prevalence of 1.5-2% in children. Case presentation: We present a term neonate who developed cyanosis shortly after birth while being breastfed. The patient's clinical status deteriorated and required endotracheal intubation. She subsequently developed severe abdominal distension which was suspicious for a TEF. A contrast esophagogram confirmed the diagnosis. A contrast-enhanced CT (CECT) showed a right tracheal bronchus and also confirmed the TEF. A right thoracotomy was done to ligate the TEF, and the tracheal bronchus was left unrepaired. The patient was discharged after an uneventful recovery. Conclusion: Neonates that exhibit cyanosis and respiratory distress during breastfeeding should be evaluated for a TEF. If found, the treatment is surgical ligation. There is no need to do any surgical treatment of a tracheal bronchus, unless there are clinical complications.
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页数:5
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