Complete Laryngo-Tracheo-Oesophageal Cleft masquerading as Oesophageal Atresia and Tracheo-oesophageal Fistula: A Potential Diagnostic and Management Challenge.

Complete laryngo tracheo oesophageal cleft (type IV) diagnosis oesophageal atresia with tracheo-oesophageal fistula

Journal

Journal of Indian Association of Pediatric Surgeons
ISSN: 0971-9261
Titre abrégé: J Indian Assoc Pediatr Surg
Pays: India
ID NLM: 101179870

Informations de publication

Date de publication:
Historique:
received: 23 11 2019
revised: 07 03 2020
accepted: 08 05 2020
entrez: 25 1 2021
pubmed: 26 1 2021
medline: 26 1 2021
Statut: ppublish

Résumé

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 We present two patients who were eventually diagnosed with complete LTOC and care was withdrawn.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

Identifiants

pubmed: 33487945
doi: 10.4103/jiaps.JIAPS_205_19
pii: JIAPS-25-397
pmc: PMC7815040
doi:

Types de publication

Case Reports

Langues

eng

Pagination

397-400

Informations de copyright

Copyright: © 2020 Journal of Indian Association of Pediatric Surgeons.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Jonathan Goring (J)

Paediatric Surgical Unit, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK.

Ashok Raghavan (A)

Department of Paediatric Radiology, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK.

Ravi Thevasagayam (R)

Department of Paediatric ENT, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK.

Elizabeth Pilling (E)

Neonatal Intensive Care Unit, Jessop Wing, Tree Root Walk, Sheffield, S10 2SF, UK.

Elizabeth Shepherd (E)

Department of Paediatric Anaesthesia, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK.

Govind V Murthi (GV)

Paediatric Surgical Unit, Sheffield Children's Hospital, Western Bank, Sheffield, S10 2TH, UK.

Classifications MeSH