Double Tracheoesophageal Fistula and Azygos Lobe
On Day 3 of life, a term female neonate, whose mother had gone through normal pregnancy and delivery, developed dyspnea and cyanosis during feeding. Chest X-ray demonstrated infiltration in the right upper lobe. Aspiration pneumonia was diagnosed, then antibiotic therapy was initiated, and enteral feeding was discontinued. After the feeding bottle was reintroduced, regurgitation, cyanosis, and coughing reappeared. Esophageal pH monitoring excluded gastroesophageal reflux and video-fluorographic swallowing study revealed no motor alterations.
Source: Pediatrics and Neonatology - Category: Perinatology & Neonatology Authors: Maria Pia De Carolis, Carmen Cocca, Francesco Cota, Giovanni Pinna, Serena Antonia Rubortone, Costantino Romagnoli, Lorenzo Mirabile, Paola Serio Tags: Pediatric images Source Type: research