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 : 6  |  Page : 397--400

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


Jonathan Goring1, Ashok Raghavan2, Ravi Thevasagayam3, Elizabeth Pilling4, Elizabeth Shepherd5, Govind V Murthi1 
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

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 We present two patients who were eventually diagnosed with complete LTOC and care was withdrawn.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.


How to cite this article:
Goring J, Raghavan A, Thevasagayam R, Pilling E, Shepherd E, Murthi GV. Complete laryngo-tracheo-oesophageal cleft masquerading as oesophageal atresia and tracheo-oesophageal fistula: A potential diagnostic and management challenge.J Indian Assoc Pediatr Surg 2020;25:397-400


How to cite this URL:
Goring J, Raghavan A, Thevasagayam R, Pilling E, Shepherd E, Murthi GV. Complete laryngo-tracheo-oesophageal cleft masquerading as oesophageal atresia and tracheo-oesophageal fistula: A potential diagnostic and management challenge. J Indian Assoc Pediatr Surg [serial online] 2020 [cited 2021 Jan 27 ];25:397-400
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2020;volume=25;issue=6;spage=397;epage=400;aulast=Goring;type=0