Double Tracheoesophageal Fistula
10.13029/jkaps.1996.2.1.68
- Author:
Young Soo HUH
1
;
Hee Sub LEE
;
Geun Woo KIM
Author Information
1. Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Esophageal atresia;
Double tracheoesophageal fistula
- MeSH:
Adult;
Airway Obstruction;
Anastomotic Leak;
Diagnosis;
Esophageal Atresia;
Fistula;
Humans;
Infant, Newborn;
Male;
Mothers;
Pregnancy;
Thoracotomy;
Thorax;
Tracheoesophageal Fistula
- From:Journal of the Korean Association of Pediatric Surgeons
1996;2(1):68-71
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Esophageal atresia(EA) with a double tracheoesophageal fistula(TEF) is rare. It accounts for only 0.7% of all cases of EA and TEF. A male newborn weighing 2860g was born by normal vaginal delivery at 41weeks' gestation to a 27-year-old mother who had a normal pregnancy. But immediately developed recurrent choking and respiratory distress. Feeding tube was inserted and chest X ray showed the feeding tube coiled in the proximal pouch(T-2 level). With a preoperative diagnosis of EA and distal TEF, the thoracotomy was performed on the third day of life. At thoracotomy, TEF was proved to be a double fistula. Both fistulas were divided and an esophageal anastomosis was performed. The postoperative course was uncomplicated until the eighth postoperative day when a minor anastomotic leak. The patient was discharged at 103 days of age.
