Esophageal atresia with proximal and distal tracheo-esophageal fistulae

Abstract

The esophageal atresia (EA) with distal fistula is the most common type of EA and is easily diagnosed by frothy discharge from mouth and nose, respiratory distress and coiling of nasogastric tube in the upper esophagus. The EA with double fistula (proximal and distal) is the least common type of EA which can easily be ignored preoperatively and intraoperatively. So it offers diagnostic challenge. Herein, we present a case of EA with double fistula in which the proximal fistula was not preoperatively appreciated by us, but identified during dissection.

Keywords

• Esophageal atresia
• Double fistula
• Missed upper pouch fistula