Pharyngeal perforation masquerading as esophageal atresia.
We present a case of pharyngeal perforation from a nasogastric tube mistakenly diagnosed as esophageal atresia with tracheoesophageal fistula in a full term infant female. The correct diagnosis was identified with rigid bronchoscopy and esophagoscopy immediately prior to the planned thoracotomy which was aborted. After one week of oral restriction and antibiotics, the healed perforation did not demonstrate leakage on a contrasted pharyngoesophagogram and bottle feeds were initiated. The infant was discharged to home on day of life 13 without any further complications.
Knight
Richard B
RB
General Surgery, Wilford Hall Medical Center, San Antonio, TX 78246, USA.
Webb
David E
DE
P Coppola
Christopher
C
D001999:Bronchoscopy; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004933:Esophageal Atresia / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004945:Esophagoscopy; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007049:Iatrogenic Disease; D007231:Infant, Newborn; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000000981:diagnostic imaging; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000379:methods; D010614:Pharynx / Q000000981:diagnostic imaging / Q000293:injuries*; D013908:Thoracotomy; D014138:Tracheoesophageal Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*