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Floyd Type II Congenital Tracheal Agenesis in a Preterm Neonate: A Rare Case Report |
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Shikha Khandelwal, Priya Singh, Rama Anand, Ajay Dudeja, Varinder Singh 1. Ex Senior Resident, Department of Neonatology, Lady Hardinge Medical College, New Delhi, India. 2. Senior Resident, Department of Radiodiagnosis, Lady Hardinge Medical College, New Delhi, India. 3. Professor, Department of Radiodiagnosis, Lady Hardinge Medical College, New Delhi, India. 4. Senior Specialist, Department of Neonatology, Lady Hardinge Medical College, New Delhi, India. 5. Professor, Department of Paediatrics, Lady Hardinge Medical College, New Delhi, India. |
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Correspondence Address : Rama Anand, A-292, Meena Bagh, New Delhi-110087, India. E-mail: Rama_home@yahoo.com |
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ABSTRACT | |||||||
: Tracheal agenesis is a rare and life-threatening airway malformation, and currently, there is no curative treatment available. The described case involves a preterm male newborn at 30 weeks of gestational age who could not be intubated during resuscitation, despite multiple attempts. However, the baby could be ventilated after oesophageal intubation. Tracheal stenosis/ atresia was suspected, and airway evaluation was performed using a thin, flexible fiberoptic bronchoscope. No tracheal opening could be identified, and upon introducing the bronchoscope into the oesophagus, a triluminal opening was found, through which the scope could not be further navigated. To further delineate the anatomy, a Contrast-enhanced Computed Tomography (CECT) thorax was performed, revealing the absence of a tracheal lumen and the communication of both bronchi at the carina with the oesophagus. Unfortunately, the baby succumbed to the illness after three days. Tracheal agenesis is an anatomical malformation that typically presents as respiratory distress and the absence of an audible cry at birth. Attempts to establish a definite airway are unsuccessful, which may result in early neonatal death. Oesophageal intubation may temporarily establish ventilation until palliative surgery is performed. | |||||||
Keywords : Airway malformation, Polyhydramnios, Tracheo-oesophageal fistula | |||||||
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DOI and Others :
DOI: 10.7860/IJNMR/2024/66738.2408
Date of Submission: Jul 28, 2023 Date of Peer Review: Oct 16, 2023 Date of Acceptance: Dec 18, 2023 Date of Publishing: Mar 31, 2024 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Jul 29, 2023 • Manual Googlin |
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Case report
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