A A Pract
. 2025 Apr 7;19(4):e01951.
doi: 10.1213/XAA.0000000000001951. eCollection 2025 Apr 1. https://pubmed.ncbi.nlm.nih.gov/40192173/
Ventilation Challenges Involved in a Rare Congenital Abnormality Masquerading as Esophageal Atresia: A Case Report
Shannon-Ariel Avraham 1, Nasser Hawash 1, Feras Somri 2, Ohad Hochman 3, Jalaa Hossein 1, Alex Brodsky 4, Mostafa Somri 1
Affiliations Expand
- PMID: 40192173
- DOI: 10.1213/XAA.0000000000001951
Abstract
A premature neonate diagnosed with esophageal atresia secondary to polyhydramnios presented for diaphragmatic hernia repair. Preanesthesia evaluation suggested esophageal atresia with tracheoesophageal fistula. The decision was made to proceed with surgery; however, we were confronted with difficulty ventilating our patient. A few hours postsurgery, subcutaneous emphysema was appreciated in the neck region of our patient. On otolaryngological investigation, a single cleft running from the mouth until the carina was discovered. This rare deformity was a type 4 laryngeal cleft. This report will discuss both how we succeeded in ventilating our patient, and it will encourage extra diligence in preanesthesia evaluation.
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