title: Tracheoesophageal fistula associated with perforated Meckel's diverticulum.
abstract: Neonates with esophageal atresia and tracheoesophageal fistula (TEF) may present with respiratory distress. Intubation and mechanical ventilation may force air from the tracheobronchial tree, through a distal fistula and into the gastrointestinal tract. We present a newborn with TEF who became moribund during mechanical ventilation. High ventilator pressures transmitted via the TEF caused over distention of the gastrointestinal tract and perforation of a Meckel's diverticulum.
authors.affiliation: Division of Pediatric Surgery, Childrens Hospital of Los Angeles, CA 90027.
authors.forename: E G
authors.initials: EG
authors.lastname: Ford
authors.forename: M M
authors.initials: MM
authors.lastname: Woolley
mesh_terms: D000015:Abnormalities, Multiple; D001006:Anus, Imperforate; D004933:Esophageal Atresia; D006801:Humans; D007231:Infant, Newborn; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology; D007422:Intestines / Q000473:pathology; D007668:Kidney / Q000002:abnormalities; D008467:Meckel Diverticulum / Q000473:pathology; D013131:Spine / Q000002:abnormalities; D013577:Syndrome; D014138:Tracheoesophageal Fistula / Q000150:complications*