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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 : 2020  |  Volume : 25  |  Issue : 6  |  Page : 397-400

Complete laryngo-tracheo-oesophageal cleft masquerading as oesophageal atresia and tracheo-oesophageal fistula: A potential diagnostic and management challenge


1 Paediatric Surgical Unit, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK
2 Department of Paediatric Radiology, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK
3 Department of Paediatric ENT, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK
4 Neonatal Intensive Care Unit, Jessop Wing, Tree Root Walk, Sheffield, S10 2SF, UK
5 Department of Paediatric Anaesthesia, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK

Correspondence Address:
Mr. Govind V Murthi
Paediatric Surgical Unit, Sheffield Childrenfs Hospital NHS Foundation Trust, Western Bank, Sheffield, S10 2TH
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.JIAPS_205_19

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Newborn babies presenting with difficulties related to the aerodigestive tract (ADT) are often provisionally diagnosed and managed as having oesophageal atresia +/- tracheo-oesophageal fistula. Continuing difficulties with management and abnormal findings on investigations should lead to the consideration of other congenital anomalies of the ADT, including complete larnygo-tracheo-oesophageal cleft (LTOC). We present two patients who were eventually diagnosed with complete LTOC and care was withdrawn. We discuss the inherent difficulties in reaching this diagnosis and present an algorithm to help manage these rare and challenging situations.






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