title: Diagnostic difficulties in esophageal atresia with proximal and distal tracheoesophageal fistula: a case report.
abstract: The authors report two patients with esophageal atresia and double fistula, one of whom was diagnosed intraoperatively and the other preoperatively through upper pouch contrast study. Patients with proximal and distal fistula do not present with excessive oral secretion and drooling because they can swallow the saliva/meals that reach the trachea from the proximal esophagus via the proximal fistula and then from the trachea to the distal esophagus via the distal fistula. Thus, since this clinical entity can be easily overlooked, some radiological and clinical signs that are helpful for preoperative and intraoperative diagnosis of a proximal fistula are discussed.
authors.affiliation: Department of Pediatric Surgery, Başkent University Faculty of Medicine, Ankara, Turkey.
authors.forename: Semire Serin
authors.initials: SS
authors.lastname: Ezer
authors.forename: Pelin
authors.initials: P
authors.lastname: Oğuzkurt
authors.forename: Abdülkerim
authors.initials: A
authors.lastname: Temiz
authors.forename: Emine
authors.initials: E
authors.lastname: Ince
authors.forename: Akgün
authors.initials: A
authors.lastname: Hiçsönmez
mesh_terms: D015897:Comorbidity; D004933:Esophageal Atresia / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D014138:Tracheoesophageal Fistula / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery