• A&A practice · Mar 2021

    Case Reports

    Hypopharyngeal Perforation Mimicking Esophageal Atresia: A Case Report of an Extremely Low Birth Weight Infant Emphasizing the Need for Preoperative Endoscopy.

    • Jost Kaufmann, Michael Laschat, Mark Schieren, Kai Böckenholt, Tobias Klein, and Frank Wappler.
    • From the Department for Pediatric Anesthesia and Endoscopy, Children's Hospital, Cologne, Germany.
    • A A Pract. 2021 Mar 8; 15 (3): e01414.

    AbstractWe report a case of an extremely low birth weight premature infant born at 27 weeks of gestation, transferred to our tertiary pediatric referral center for surgical repair of an esophageal atresia. Endoscopic evaluation before the start of surgery revealed a hypopharyngeal perforation, resulting in the false impression of esophageal atresia. If no tracheoesophageal fistula is found during tracheoscopy, esophagoscopy should be done before surgical intervention as the inability to pass a nasogastric tube into the stomach is not sufficiently reliable for a correct diagnosis of esophageal atresia.Copyright © 2021 International Anesthesia Research Society.

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