EP10.02: Laryngeal atresia associated with esophageal fistula

Abstract

Obstruction of the upper respiratory tract (trachea/larynx) occurs due to atresia, stenosis or the presence of a membrane. The prenatal diagnosis is relatively simple. It presents with very significant and characteristic ultrasound features. The prognosis is bad presenting a very high mortality rate. We report a case of prenatal diagnosis of a suspected esophageal atresia and postnatal diagnosis of laryngeal atresia. This gravid woman did not present any major morphological anomalies at mid-trimester scan. She was referred to our unit at 28 weeks gestation due to non-visualisation of the gastric chamber and polyhydramnios. A small gastric chamber and severe polyhydramnios were confirmed. The suspected diagnosis of esophageal atresia with tracheoesophageal fistula was suspected. Two amnioreductions were performed due to maternal discomfort. Caesarean section was performed with 40 weeks + 3 for fetal distress giving birth to a male of 2370 g with Apgar score of 1-1-0 and umbilical cord arterial and venous pH of 7,19 and 7,26 respectively. The newborn died after inability of pulmonary ventilation and intubation. The postmortem radiological study and necropsy confirmed the presence of laryngeal atresia with esophageal fistula. Laryngeal/tracheal atresia has a poor prognosis. Its prenatal diagnosis permits to offer abortion or to plan the delivery, which is essential for the survival of the newborn. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.