A new variant of esophageal atresia with tracheoesophageal fistula and duodenal atresia: a diagnostic dilemma
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.
Sinha
CK
Division of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221 005, India
Gangopadhyay
AN
Sahoo
SP
Gopal
SC
Gupta
DK
Sharma
SP