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Unusual presentation of more common disease/injury
Case report
Newly discovered variant of oesophageal atresia: ‘Type Y’
  1. Dina Fouad,
  2. Alexander Macdonald,
  3. Nordeen Bouhadiba and
  4. Iain Yardley
  1. Paediatric Surgery, Evelina London Children's Healthcare, London, UK
  1. Correspondence to Dina Fouad; dina_fouad{at}icloud.com

Abstract

Multiple variations of oesophageal atresia (OA) have been described. We present two cases of a new variant of OA (‘Type Y’) where the fistula enters the trachea in a Y-shaped configuration. Awareness of this is important. Bronchoscopy will reveal a single fistula opening and therefore there will initially be no suspicion of anatomical variation. It may be that only one bifurcation of the ‘Y’ fistula is patent which poses a risk of incomplete fistula closure.

  • congenital disorders
  • neonatal and paediatric intensive care
  • paediatric surgery

https://doi.org/10.1136/bcr-2018-226593

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    Footnotes

    • Contributors DF fully contributed to the conception, writing, revising and approved the final version of the manuscript. AM fully contributed to the conception, writing, revising and approved the final version of the manuscript. AM also created figure 1. IY fully contributed to the conception, writing, revising and approved the final version of the manuscript. NB fully contributed to the conception, writing, revising and approved the final version of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.