Abstract
The gap between the upper and lower pouches in case of pure esophageal atresia (EA) is usually long and requires multistaged repair. However, in rare cases, the gap may be short and can be repaired primarily commonly through thoracotomy approach. We report an unusual case of a 2-day-old baby girl who presented with short gap EA where the lower esophageal pouch was found adjacent to the blind upper pouch in the neck and primary repair could be performed through the cervical route itself.
Highlights
Esophageal atresia (EA) with tracheoesophageal fistula (TEF) is a congenital anomaly occurring in 1 in 2500–4000 newborns [1]
We describe a case of short-gap EA (SGEA) where the location of the lower esophageal pouch was found as high-up as in the neck, and the repair was done through the cervical route itself
Pure EA is usually characterized by a wide gap between the two pouches [2] and a gasless abdomen on X-ray
Summary
Surgical Surprise in a Case of Pure esophageal atresia: How High Can the Lower Pouch Be?. How to cite: Yadav DK, Khanna K, Khanna V, Bagga D. Surgical surprise in a case of pure esophageal atresia: how high can the lower pouch be?
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