Abstract :
Esophageal atresia is an anomaly which is usually congenital but can be acquired in which there is disruption in the continuity of the oesophageal lumen resulting in an upper & lower segment. We present the case of a rare sub-type of Oesophageal atresia Type 3 with distal opening at left bronchus. This is the first case reported in literature in the Kalinga hospital Of Medical Sciences, Bhubaneswar. A 3 day old term male baby who presented as an emergency with difficulty breathing, fever and refusal to feed. Initially managed as early onset neonatal sepsis with aspiration pneumonia in which a diagnosis of oesophageal atresia was finally made.A high index of suspicion for Oesophageal atresia/trachea-oesophageal fistula should prevail when faced with a neonate with the triad: respiratory distress during feeds, regurgitation and persistent frothy salivation. The case discusses about a rare variant of Type 3 oesophageal fistula where the opening is present at the left bronchus.
Keyword :
Tracheo esophageal fistula, Nasogastric tube, Ppulmonary Infiltrates, Aspiration, Atresia