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Articles » Gastrointestinal anomalies, spleen & abdominal wall » Esophageal atresia » Esophageal atresia with tracheo-esophageal fistula

2004-04-05-12  Esophageal atresia with tracheo-esophageal fistula © Teker www.thefetus.net/


Esophageal atresia with tracheo-esophageal fistula  

Ismail Teker, MD

Turkey.

This patient is 37 years old and G9P6. She was come my office at her 19-week her history is unremarkable. During her ultrasonographic
examination, the baby appeared normal, in particular the amniotic fluid quantity was normal and the stomach was visible. She returned at
27-week, complaining of abdominal distention and pain. The examination revealed polyhydramnios and the stomach was not visible.

On repeat examinations the stomach was always too small. A therapeutic amniocentesis was performed to relieve the abdominal distention. The karyotype was normal.

A term 2900g male baby was delivered. A nasogastric tube was passed but did not reach the stomach. The baby was taken to surgery without delay and the diagnosis of proximal esophageal atresia with distal tracheo-esophageal fistula was confirmed.

The small stomach:


Polyhydramnios

Postnatal X-ray:

 

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