An unusual presentation of congenital bronchoesophageal fistula

  • OM Atalabi Radiology Department, University College Hospital, Ibadan, Nigeria
  • AG Falade Paediatric Department, University College Hospital, Ibadan, Nigeria
  • OM Obajimi Radiology Department, University College Hospital, Ibadan, Nigeria
  • OO Akinyinka Paediatric Department, University College Hospital, Ibadan, Nigeria
  • SB Lagundoye Radiology Department, University College Hospital, Ibadan, Nigeria
  • PO Ibinaiye Radiology Department, University College Hospital, Ibadan, Nigeria
Keywords: Bronchoesophageal fistula, Hiatus hernia, Meningo-encephalocoele

Abstract

We present the case of a 5-week-old neonate with multiple congenital abnormalities including a broncho-oesophageal fistula, which showed radiological features suggestive of congenital diaphragmatic hernia. Emergency limited barium swallow done was initially reported as a case of diaphragmatic hernia. Autopsy revealed pus within the right lung, and a fistulous connection between the oesophagus and an intralobar sequestrated lung. No diaphragmatic hernia or intra-abdominal organ abnormality were seen, and an occipital meningomyelocoele was also confirmed.

Key Words: Bronchoesophageal fistula, Hiatus hernia, Meningo-encephalocoele

Résumé

Nous présentons le cas d'une néonatale agée du cinq semaines atteinte d'une anormalie congénitale multiple y compris une fistule broncho-oesophageal qui avait indiqué des traits radiologique evocateur d'une hernie diaphragmatique congénitale. La méthode de la bouillie de sulfate de barium restreintée d'urgence effectue etait au départ donné comme un cas de l'hernie diaphragmatique. L'autopsie avait indiqué un pus du dedans du poumon du côoté droite et un lien fistule entre l'oesophage et le poumon intralobe séquestré. On n'a pas vu aucune hernie diaphragmatique ou organe intraabdominal anormal, et on a également confirmé un méningomyelocoele occipital.

West African Journal of Medicine Vol.23(1) 2004: 88-90
Published
2004-05-20
Section
Articles

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eISSN: 0189-160X