title: A new variant of esophageal atresia with tracheoesophageal fistula and duodenal atresia: a diagnostic dilemma
abstract: A new variant of esophageal atresia (EA) with tracheoesophageal fistula (TEF) associated with duodenal atresia is reported. The TEF was between the lower pouch and the trachea, with a cystic dilatation in the midportion. The tracheal end of the fistula was obstructed by a membranous septum at both ends of a cystic dilatation, leading to a diagnosis of pure EA (gasless abdomen). After the lower pouch was opened beyond the cystic dilatation, 100 ml nonbilious fluid was obtained. A laparotomy revealed a type III atresia of the first part of the duodenum.
authors.affiliation: Division of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221 005, India
authors.initials: CK
authors.lastname: Sinha
authors.initials: AN
authors.lastname: Gangopadhyay
authors.initials: SP
authors.lastname: Sahoo
authors.initials: SC
authors.lastname: Gopal
authors.initials: DK
authors.lastname: Gupta
authors.initials: SP
authors.lastname: Sharma