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: Tags: Pediatric images Source Type: research