Oesophageal perforation masquerading as oesophageal atresia and tracheoesophageal fistula in a very preterm infant
This article reports a case of a preterm baby born at 28+6 weeks’ gestation with moderate to severe respiratory distress syndrome who, on initial chest radiograph, had evidence to suggest a diagnosis of oesophageal atresia and a distal tracheoesophageal fistula. He subsequently underwent a thoracotomy where this diagnosis was refuted and instead, the diagnosis of oesophageal perforation was made. We review the subtle clues that may have indicated oesophageal perforation and prevented the transfer to the surgical centre and subsequent thoracotomy.
Neonatal Registrar, William Harvey Hospital, Ashford, Kent
Consultant Paediatric and Neonatal Surgeon, Guy's and St Thomas' NHS Foundation Trust, London
Consultant Neonatologist, William Harvey Hospital, Ashford, Kent
Guin M., Yardley I., Vasu V. Oesophageal perforation masquerading as oesophageal atresia and tracheoesophageal fistula in a very preterm infant. Infant 2023; 19(2): 51-53.
Please subscribe and log in to see the full article.