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A successful repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) to a 6-day-old child in a low-resource setting. Case report

INTRODUCTION: Congenital tracheoesophageal fistula (TEF) is a rare and life-threatening anomaly that requires prompt surgical intervention. The case report highlights a successful TEF repair in setting with significant observed cases and low survival rate. CASE PRESENTATION: We present a Type C Trac...

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Autores principales: Mwesige, Sylvery, Ngotta, Victor, Ngowi, Novath, Salim, Mohammed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694280/
https://www.ncbi.nlm.nih.gov/pubmed/37979557
http://dx.doi.org/10.1016/j.ijscr.2023.109065
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author Mwesige, Sylvery
Ngotta, Victor
Ngowi, Novath
Salim, Mohammed
author_facet Mwesige, Sylvery
Ngotta, Victor
Ngowi, Novath
Salim, Mohammed
author_sort Mwesige, Sylvery
collection PubMed
description INTRODUCTION: Congenital tracheoesophageal fistula (TEF) is a rare and life-threatening anomaly that requires prompt surgical intervention. The case report highlights a successful TEF repair in setting with significant observed cases and low survival rate. CASE PRESENTATION: We present a Type C Tracheoesophageal fistula successfully repaired by a conventional Open Surgical approach. An infant of 3 days born at term with Birth weight of 3 kg, presenting with postprandial regurgitation, choking and abdominal distension followed by early features of pneumonia. Initial chest X-ray with nasogastric (NS) tube catheter revealed features of esophageal atresia (EA) with distal TEF. An echocardiogram (ECHO) was performed, which revealed moderate patent ductus arteriosus (PDA) and small left to right shunt. A successful delayed primary repair was performed on the sixth day of life in the division of pediatric surgery center. CONCLUSION: The successful outcome in this case serves as a testament to the dedication and resourcefulness of the healthcare team. It underscores the importance of high suspicious index, collaboration, adaptability, and skill in providing quality care in low-resource settings, reaffirming the possibility of saving lives even in challenging circumstances.
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spelling pubmed-106942802023-12-05 A successful repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) to a 6-day-old child in a low-resource setting. Case report Mwesige, Sylvery Ngotta, Victor Ngowi, Novath Salim, Mohammed Int J Surg Case Rep Case Report INTRODUCTION: Congenital tracheoesophageal fistula (TEF) is a rare and life-threatening anomaly that requires prompt surgical intervention. The case report highlights a successful TEF repair in setting with significant observed cases and low survival rate. CASE PRESENTATION: We present a Type C Tracheoesophageal fistula successfully repaired by a conventional Open Surgical approach. An infant of 3 days born at term with Birth weight of 3 kg, presenting with postprandial regurgitation, choking and abdominal distension followed by early features of pneumonia. Initial chest X-ray with nasogastric (NS) tube catheter revealed features of esophageal atresia (EA) with distal TEF. An echocardiogram (ECHO) was performed, which revealed moderate patent ductus arteriosus (PDA) and small left to right shunt. A successful delayed primary repair was performed on the sixth day of life in the division of pediatric surgery center. CONCLUSION: The successful outcome in this case serves as a testament to the dedication and resourcefulness of the healthcare team. It underscores the importance of high suspicious index, collaboration, adaptability, and skill in providing quality care in low-resource settings, reaffirming the possibility of saving lives even in challenging circumstances. Elsevier 2023-11-17 /pmc/articles/PMC10694280/ /pubmed/37979557 http://dx.doi.org/10.1016/j.ijscr.2023.109065 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Mwesige, Sylvery
Ngotta, Victor
Ngowi, Novath
Salim, Mohammed
A successful repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) to a 6-day-old child in a low-resource setting. Case report
title A successful repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) to a 6-day-old child in a low-resource setting. Case report
title_full A successful repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) to a 6-day-old child in a low-resource setting. Case report
title_fullStr A successful repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) to a 6-day-old child in a low-resource setting. Case report
title_full_unstemmed A successful repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) to a 6-day-old child in a low-resource setting. Case report
title_short A successful repair of esophageal atresia (EA) with distal tracheoesophageal fistula (TEF) to a 6-day-old child in a low-resource setting. Case report
title_sort successful repair of esophageal atresia (ea) with distal tracheoesophageal fistula (tef) to a 6-day-old child in a low-resource setting. case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694280/
https://www.ncbi.nlm.nih.gov/pubmed/37979557
http://dx.doi.org/10.1016/j.ijscr.2023.109065
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