Intramural tracheoesophageal fistula (TEF) associated with esophageal web.
This is a report of the fourth known case of intramural TEF with diaphragmatic esophageal atresia. These patients present clinically as a typical esophageal atresia with tracheoesophageal fistula, but in effect have the following unusual features: 1) high TEF entering the trachea in the neck; 2) diaphragmatic-type atresia of the esophagus with uninterrupted muscular coat; 3) the location of this diaphragm is at the level of the carina producing in effect a long intramural fistulous tract. It is believed that faulty recannulization of a segment of the esophagus in association with H-type TEF may explain this uncommon anomaly.
D003951:Diagnostic Errors; D004933:Esophageal Atresia / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008722:Methods; D011183:Postoperative Complications / Q000601:surgery; D011859:Radiography; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging / Q000601:surgery*