A NEW VARIANT OF ESOPHAGEAL ATRESIA WITH TRACHEOESOPHAGEAL FISTULA AND DUODENAL ATRESIA - A DIAGNOSTIC DILEMMA

A new variant of esophageal atresia (EA) with tracheoesophageal fistul a (TEF) associated with duodenal atresia is reported. The TEF was betw een the lower pouch and the trachea, with a cystic dilatation in the m idportion. The tracheal end of the fistula was obstructed by a membran ous septum at both ends of a cystic dilatation, leading to a diagnosis of pure EA (gasless abdomen). After the lower pouch was opened beyond the cystic dilatation, 100 ml nonbilious fluid was obtained. A laparo tomy revealed a type III atresia of the first part of the duodenum.