Esophageal atresia associated with a rare vascular ring and esophageal duplication diverticulum: A case report and review of the literature

Escobar, Mauricio A.; Welke, Karl F.; Holland, Randall; Caty, Michael G.

doi:10.1016/j.jpedsurg.2012.07.051

Cited by 8 publications

(3 citation statements)

References 12 publications

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“…Most of bronchoesophageal fistula in children is congenital and often associated with esophageal atresia or other malformations of esophagus. [ 8 – 10 ] The overall incidence of congenital bronchoesophageal fistula ranges from 1 in every 2500 to 4000 live births. [ 1 ] Only a few bronchoesophageal fistulas are acquired.…”

Section: Discussionmentioning

confidence: 99%

Esophageal diverticulum serves as a unique cause of bronchoesophageal fistula in children

Wang¹,

Zhang

Teng

2017

Medicine

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Rationale:Most of the esophageal diverticulums are congenital traction instead of in childhood. In most conditions, esophageal diverticulums are free of any symptoms. As one of the rare entity, esophageal diverticulum can also result in bronchoesophageal fistula.Patient concerns:A 10-year-old girl was admitted due to a 2-month history of cough and choking after drinking, and fever for 3 days. No symptoms when taking solid food were found.Diagnoses:By esophagogram, 3-dimensional computed tomography and esophagoscopy, an esophageal diverticulum was demonstrated in the middle esophagus with a bronchoesophageal fistula visualized. Then the diagnoses of esophageal diverticulum and bronchoesophageal fistula were established.Interventions:A regular trans-anterolateral thoracotomy was carried out under general anesthesia with patient lying on the right side. The diverticulum was then removed and the fistulous tract was closed.Outcomes:The girl discharged on the 14th postoperative day and received a regular monthly follow-up, at present, no recurrence was found.Lessons:Bronchoesophageal fistula may be a complication of esophageal diverticula, and should be considered in cases of unexplained cough or recurrent pneumonia.

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Section: Discussionmentioning

confidence: 99%

Esophageal diverticulum serves as a unique cause of bronchoesophageal fistula in children

Wang¹,

Zhang

Teng

2017

Medicine

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“…To our knowledge, this is the first case of acquired TEF associated with double incomplete aortic arch in adulthood; cases of congenital TEF, with esophageal atresia and associated with a vascular ring, have been reported in pediatric surgery [5].…”

Section: Discussionmentioning

confidence: 81%

Acquired tracheoesophageal fistula repair, due to prolonged mechanical ventilation, in patient with double incomplete aortic arch

Zampieri

Pangoni

Marulli

et al. 2018

Monaldi Arch Chest Dis

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We report a case of the repair of an acquired benign tracheoesophageal fistula (TEF) after prolonged mechanical invasive ventilation. Patient had an unknown double incomplete aortic arch determining a vascular ring above trachea and esophagus. External tracheobronchial compression, caused by the vascular ring, increasing the internal tracheoesophageal walls pressure determined by endotracheal and nasogastric tubes favored an early TEF development. The fistula was repaired through an unusual left thoracotomy and vascular ring dissection. TEFs are a heterogeneous group of diseases affecting critically ill patients. Operative closure is necessary to avoid further complications related to this condition. Pre-operative study is mandatory to plan an adequate surgical approach.

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“…[2] Few associations are rarer such as with duodenal atresia, esophageal lung, and vascular rings. [3,4] Its association with cystic hygroma is not reported to the best of our knowledge. Herein we report a case of esophageal atresia with TEF associated with cystic hygroma of the neck.…”

Section: Introductionmentioning

confidence: 99%

Cystic hygroma and esophageal atresia with tracheoesophageal fistula: Is there a genetic association?

Vutukuru¹,

Peters

Dogra³

et al. 2021

J Neonatal Surg

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Background: Tracheoesophageal fistula (TEF) is associated with many other congenital anomalies like cardiac, renal, and vertebral, but the association with cystic hygroma is very rare. Case Presentation: We report a neonate, antenatally diagnosed with cystic hygroma of the neck and incidentally diagnosed to have TEF. The baby was operated on after adequate stabilization and the cystic hygroma was managed with injection sclerotherapy. The genetic analysis for the FOX genes complex has been done in this case and the results showed no association between the two. Conclusion: There is a need for future studies to find out if the association between cystic hygroma and TEF is by chance or if any embryological or genetic cause can be attributed to it.

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Esophageal atresia associated with a rare vascular ring and esophageal duplication diverticulum: A case report and review of the literature

Cited by 8 publications

References 12 publications

Esophageal diverticulum serves as a unique cause of bronchoesophageal fistula in children

Esophageal diverticulum serves as a unique cause of bronchoesophageal fistula in children

Acquired tracheoesophageal fistula repair, due to prolonged mechanical ventilation, in patient with double incomplete aortic arch

Cystic hygroma and esophageal atresia with tracheoesophageal fistula: Is there a genetic association?

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