Membranous type of esophageal atresia at the cardiac end of the esophagus: A case report

Pai, Girish K; Pai, Pushpalatha; Kini, Anand; Rao, Jayaprakash

doi:10.1016/s0022-3468(87)80488-8

Cited by 9 publications

(4 citation statements)

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“…To the best of our knowledge, there are only eight cases reported in the literature who have non‐perforated membranous web without TEF (Table 1). 8–15 Among these cases, only two of them were operated thru laparotomy as we did in the present case 8,9 . Also, the present case is the first case having associated malrotation among those eight cases.…”

Section: Discussionmentioning

confidence: 62%

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

Boybeyi

Iyigun

Çağan

et al. 2021

Congenital Anomalies

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Congenital esophageal web is a very rare type of esophageal atresia (EA) and is considered as Type IV atresia in Kluth's classification. Type IV EA is further classified into subgroups according to the location of web and the presence of tracheoesophageal fistula (TEF). Herein, we present a newborn having Type IV1a EA who was initially suspected as isolated EA and has co‐existing malrotation together with the review of the literature. A newborn having congenital esophageal web was admitted with antenatal ultrasonography revealing polyhydramnios, dilated stomach, and duodenum. Abdominal X‐ray revealed a gasless abdomen suggesting isolated EA. The upper gastrointestinal series confirmed complete obstruction at the lower esophagus. Bronchoscopy performed excluding TEF. Laparotomy revealed intestinal malrotation and the absence of another GI webs. Gastrotomy was performed and mucosal web at GEJ was seen by pushing nasogastric catheter. Web excision and Ladd procedure were performed. Congenital esophageal web is an extremely rare type of esophageal anomaly that can be only classified in Kluth classification. A high index of suspicion is required for diagnosis especially in newborns with the gasless abdomen and esophageal obstruction at the level of GEJ. Preoperative bronchoscopy is mandatory to exclude an associating TEF. Surgical exploration via laparotomy is beneficial for exploring additional GIS anomalies.

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Section: Discussionmentioning

confidence: 62%

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

Boybeyi

Iyigun

Çağan

et al. 2021

Congenital Anomalies

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“…[5][6][7] In earlier cases of membranous atresia described in the literature, there was membranous obstruction at cardiac end with gasless abdomen suggesting complete obstruction. [5,6] In another case there was intervening non-patent lumen (like a fibrous cord) between the atretic end and the stomach. [7] These types of intra-abdominal EA have not been described in Kluth's Atlas.…”

Section: Discussionmentioning

confidence: 99%

Kluth type I3 and intra-abdominal variants of esophageal atresia: A case series

et al. 2020

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Background: Esophageal atresia (EA) encompasses a group of congenital anomalies (one in 2500 live births) comprising an interruption in the continuity of the esophagus combined with or without a persistent communication with the trachea. It is confirmed by passing no. 10 sterile, blunt‑tipped red rubber catheter into the esophagus, which gets failed to pass beyond 10 cm. Case Series: We describe two male neonates in whom the infant feeding tube could be passed to 18-20 cm in the upper esophageal pouch. A babygram with a blunt-tipped soft red rubber catheter in situ confirmed the esophageal atresia (EA) with the long upper pouch in the first case and EA with obstruction at the gastroesophageal junction in the second one. Conclusion: The importance of recognizing rare Kluth variants of EA is stressed. A low threshold for performing a red rubber catheter test is stressed.

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“…But this type of atresia was not mentioned in gross or Vogt classification. Previously, only a few cases with an obstructing web had been reported 4,5,6 and also multiple esophageal atresia 7 . But there is no any documented case report with TEF & multiple esophageal atresia.…”

Section: Introductionmentioning

confidence: 99%

“…The choice of treatment varies from ligation of the fistula with excision of the membrane by esophagotomy and/or gastrotomy, thoracoabdominal approach and end to end anastomoses of the proximal and distal atresia. 4,5,6 Case Report…”

Section: Introductionmentioning

confidence: 99%

Spontaneous pneumothorax in a neonate with TEF and double oesophageal atresia. A case report

Tihitena¹,

Temesgen²

2016

East. Cent. Afr. J. Surg.

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Spontaneous pneumothorax is uncommon disease scenario in term neonates. But pneumothorax can occur in neonates who had CPR or are on mechanical ventilator for different causes of respiratory distress. Congenital double esophageal atresia is a very rare type of esophageal atresia. If only single membranous atresia it can be isolated esophageal membranous atresia or with trachea-esophageal fistula. This type of atresia was not mentioned in gross or Vogt classification. Previously, only a few cases with an obstructing web had been reported and also multiple esophageal atresias. But there is no any documented case report with TEF & multiple esophageal atresia. The choices of treatment vary from ligation of the fistula with excision of the membrane by esophagotomy and/or gastrotomy, thoraco-abdominal approach and end to end anastomoses of the proximal & distal atresia. Here we present a case of a neonate who had developed respiratory distress since birth with a cause of tension spontaneous pneumothorax and managed by a chest tube and also diagnosed to have oesophageal atresia with distal tracheo-esophageal fistula on further evaluation and showing additional distal membranous oesophageal atresia during the thoracotomy. And he was managed accordingly.

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Membranous type of esophageal atresia at the cardiac end of the esophagus: A case report

Cited by 9 publications

References 1 publication

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

Kluth type I3 and intra-abdominal variants of esophageal atresia: A case series

Spontaneous pneumothorax in a neonate with TEF and double oesophageal atresia. A case report

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Membranous type of esophageal atresia at the cardiac end of the esophagus: A case report

Cited by 9 publications

References 1 publication

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV1a membranous esophageal atresia

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV1a membranous esophageal atresia

Kluth type I3 and intra-abdominal variants of esophageal atresia: A case series

Spontaneous pneumothorax in a neonate with TEF and double oesophageal atresia. A case report

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A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia

A rare congenital esophageal anomaly mimicking an isolated esophageal atresia: Kluth Type IV_1a membranous esophageal atresia