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Total lung sequestration in association with oesophageal atresia and multiple tracheo-oesophageal fistulae
Insights
A newborn experienced vomiting and respiratory distress due to a rare congenital anomaly. Surgical intervention successfully corrected the tracheo-oesophageal atresia and oesophagobronchial fistula.
Area of Science:
- Neonatal surgery
- Pediatric gastroenterology
- Congenital anomalies
Background:
- Tracheo-oesophageal atresia and oesophagobronchial fistula are rare congenital anomalies.
- These conditions can lead to severe feeding difficulties and respiratory compromise in newborns.
Observation:
- A full-term newborn presented with vomiting and radiographic evidence of right hemithorax opacification.
- A nasogastric tube was noted to be coiled in the proximal oesophagus, with air present in the gastrointestinal tract.
Findings:
- The infant underwent a three-stage surgical repair.
- Procedures included gastrostomy, left thoracotomy with division of a double tracheo-oesophageal atresia, and division of an oesophagobronchial fistula with right pneumonectomy.
Implications:
- This case highlights the complex surgical management required for combined tracheo-oesophageal atresia and oesophagobronchial fistula.
- Successful surgical correction can lead to improved outcomes for neonates with these severe congenital defects.
Abstract:
This is a case presentation of a full-term newborn female who vomited her feedings and had a chest x-ray demonstrating opacification of the right hemithorax, coiling of the nasogastric tube in the proximal oesophagus, and air in the gastrointestinal tract. The infant underwent three procedures which included: 1. gastrostomy: 2. a left thoracotomy with division of a double tracheo-oesophageal atresia: 3. division of an oesophagobronchial fistula and right pneumonectomy.