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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 CASE REPORT
Year : 2015  |  Volume : 20  |  Issue : 1  |  Page : 37-39

Absent upper blind Pouch in a case of tracheo-esophageal fistula


1 Department of Surgery and Paediatric Surgery, 166 Military Hospital, 900 277, C/O 56 APO, India
2 Department of Anesthesiologist, 166 Military Hospital, 900 277, C/O 56 APO, India

Correspondence Address:
Man Mohan Harjai
Consultant (Pediatric Surgeon), 166 Military Hospital, 900 277, C/O 56 APO
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.145543

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A common upper airway and digestive tract is a rare congenital anomaly that is usually fatal and its exact incidence is not known. It is a diagnostic challenge as it requires high index of suspicion. It should be considered in a neonate with respiratory distress in a non-vigorous baby requiring endotracheal intubation, which is difficult even in expert hand. We present a newborn with suspected tracheo-esophageal fistula that was diagnosed intraoperatively to have absent upper blind pouch of the esophagus and on autopsy found to have laryngeal atresia with absent vocal cords and a common aerodigestive tract continuing distally with trachea. The neonate was ventilated with endotracheal tube (ETT) placement which in retrospect we came to know that it was in the esophagus. The neonate also had associated multiple congenital anomalies of VACTERL association. The importance of teamwork between neonatologist, pediatric surgeon, anesthesiologist, and radiologist is highlighted for diagnosis and management of such rare cases.






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