Abstract
Esophageal atresia with tracheoesophageal fistula (EA-TEF) is a well-known congenital anomaly and Type C variety of gross classification is the most common. Even for Type C variety, anatomy of upper pouch and lower pouch is not always the same. We are presenting three cases of Type C EA-TEF with unusual anatomy. In this type, upper pouch crosses over the lower pouch for a significant length. The cases are described here to highlight this variant of Type C EA-TEF which produces diagnostic dilemma. An early diagnosis of this variant, prevents morbidity and mortality.
Highlights
Esophageal atresia with tracheoesophageal fistula (EA-TEF) is a common congenital anomaly with well-established investigation protocols
We are presenting a rare variant of Type C, in which orogastric tube goes well beyond 18–20 cm and gives a false impression that the tube is in stomach and creates a diagnostic dilemma in emergency room
Diagnosis of EA-TEF is straight forward with failure to pass an orogastric tube, which usually gets stuck at 10–12 cm from the mouth and is usually visible at T3-T4 level on a plain X-ray [1]
Summary
Crossover Upper Pouch in Type C Esophageal Atresia: An Uncommon Variant Causing Diagnostic Dilemma.
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