Abstract
A neonate was operated upon for esophageal atresia with distal tracheo oesophageal fistula. He developed mediastinitis due to an anastomotic leak, which led to a fatal outcome. At autopsy, an associated hypertrophic pyloric stenosis was found. This had probably contributed to the development of the leak. The condition had been suspected in the post operative period, but had not been further investigated. A review of the literature shows a high incidence of anomalies associated with tracheoesophageal fistula. In patients of tracheo oesophageal fistula, in whom associated gastro-intestinal anomalies are suspected, contrast radiographic studies to include the pylorus, stomach and duodenum are mandatory. A formal laparotomy and surgical correction must then follow, if required. A high index of suspicion is required so as to avoid complications arising from a delay in complete diagnosis.
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References
Holder TM, Cloud DT, Lewis JE Jr,Pilling GP.Esophageal atresia and tracheoesophageal fistula: A survey of its members by the surgical section of the American Academy of Paediatrics. Paediatrics 1964;34: 542–49.
Pollock WF, Norris WJ, Gordon HE.The management of hypertrophic pyloric stenosis at the Los Angeles Children's Hospital. A review of 142 cases. Am J Surg 1957;94: 335–49.
Swenson O, Lipman R, Fisher JH, DeLuca FG.Repair and complications of tracheoesophageal fistula and esophageal atresia. N Engl J Med 1962;267: 960–63.
Quan L, Smith DW.The VATER association: A spectrum of associated defects. J Paediatrics 1973;82: 104–7.
Khoury MJ, Cordero JF, Greenberg F, James LH, Erickson JD.A population study of the VACTERL association: Evidence of its etiologic heterogenecity. Paediatrics 1983;71: 815–20.
Glasson MJ, Bandrevics V, Cohen DH.Hypertrophic pyloric stenosis complicating esophageal atresia. Surgery 1973;74: 530–35.
Millitt DL, Golladay ES.Management of the new born with gastrointestinal anomalies and tracheoesophageal fistula. Am J Surg 1983;146: 792–95.
Raffensperger J.Gastrointestinal tract defects associated with esophageal atresia and tracheoesophageal fistula. Arch Surg 1970;101: 241–44.
Andrassy RJ, Mahour GH.Gastrointestinal anomalies associated with esophageal atresia and tracheoesophageal fistula. Arch Surg 1979;114: 1125–28.
Laron Z, Horne LM.The incidence of infant pyloric stenosis. Am J Dis Child 1957;94: 151.
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Karmakar, M., Patil, R.B., Patil, D.P. et al. Hypertrophic pyloric stenosis complicating oesophageal atresia with distal tracheo oesophageal fistula: A case report. Indian J Thorac Cardiovasc Surg 5, 57–59 (1987). https://doi.org/10.1007/BF02664059
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DOI: https://doi.org/10.1007/BF02664059