Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2020  |  Volume : 25  |  Issue : 4  |  Page : 248--250

Kluth type IIIb9variant of esophageal atresia


Rahul Gupta, Ankit Singh, Arun Kumar Gupta 
 Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Rahul Gupta
Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan
India

We, herein, present an extremely rare case of an esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) with additional perforated membrane at the lower one-third of fistula. A neonate presented with difficulty in breathing and excessive frothing from the mouth. Radiograph with red rubber catheter in situ(obstruction at 10 cm from the gum margins) suggested EA with distal TEF. During thoracotomy, after ligation of fistula, a 6 Fr infant feeding tube was introduced into the distal esophagus which revealed obstruction at the lower one-third. An esophagotomy was performed; a membrane with opening at the center was identified. Following its excision, the esophageal end became dusky necessitating esophagostomy and feeding gastrostomy. A high index of suspicion for membranous obstruction at the lower one-third of fistula should be kept in mind while dealing with EA with distal TEF.


How to cite this article:
Gupta R, Singh A, Gupta AK. Kluth type IIIb9variant of esophageal atresia.J Indian Assoc Pediatr Surg 2020;25:248-250


How to cite this URL:
Gupta R, Singh A, Gupta AK. Kluth type IIIb9variant of esophageal atresia. J Indian Assoc Pediatr Surg [serial online] 2020 [cited 2021 Sep 19 ];25:248-250
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2020;volume=25;issue=4;spage=248;epage=250;aulast=Gupta;type=0