Tracheal agenesis, a frightening scenario

2016 ◽  
Vol 130 (3) ◽  
pp. 314-317 ◽  
Author(s):  
H Mohammed ◽  
K West ◽  
J Bewick ◽  
M Wickstead
Keyword(s):  
Prenatal Diagnosis ◽  
Literature Review ◽  
Tracheoesophageal Fistula ◽  
Oesophageal Atresia ◽  
Case Series ◽  
Renal Dysplasia ◽  
University Hospital ◽  
Tracheal Agenesis ◽  
Vater Association ◽  
Vertebral Defects

AbstractObjective:This paper discusses three cases of tracheal agenesis that presented within a six-week period to the Norfolk and Norwich University Hospital. By reviewing the available literature on tracheal agenesis, the report aims to outline a protocol for future prenatal and postnatal management.Methods:A case series and a literature review.Results:Three cases of tracheal agenesis presented in the classical manner, with respiratory distress and unsuccessful intubation following delivery. A literature review confirmed that prenatal diagnosis requires future innovation; survival is rare and is predominately reliant on intubation of the oesophagus when a patent tracheoesophageal fistula is present. In most cases, tracheal agenesis represents part of the ‘VATER’ association: vertebral defects, anal atresia, tracheoesophageal fistula with oesophageal atresia, and radial or renal dysplasia. Complex, multiple-stage surgical procedures have been described; however, no survival to adolescence is documented.Conclusion:There is a call for improved prenatal diagnosis to allow both adequate counselling of parents and preparation for multi-specialty management at delivery. In addition, these cases highlight the ongoing need for improved congenital anomaly data within the UK, with currently only 49 per cent of England's births being registered.

scholarly journals Case series of prenatal diagnosis of fetal intrahepatic lesions and postnatal outcome

Ultrasound ◽  
2019 ◽  
Vol 27 (2) ◽  
pp. 127-130
Author(s):  
Sangeeta Pathak ◽  
Liliana Grosu
Keyword(s):  
Prenatal Diagnosis ◽  
Literature Review ◽  
Fetal Liver ◽  
Case Series ◽  
Evidence Based ◽  
Careful Planning ◽  
Place Of Delivery ◽  
Antenatal Ultrasound ◽  
Prenatal Detection ◽  
Postnatal Outcome

With advancing technology, it is becoming common for antenatal ultrasound to detect echogenic lesions in fetal abdomen. Paucity of data in this field, however, makes it difficult to counsel patients. We report four cases of fetal liver echogenic lesions, postnatal outcome (delivered during 2015–2016) and a literature review to increase awareness. Intrahepatic calcification is relatively common with an incidence of approximately 5–10 in 10,000 pregnancies. Prenatal detection of echogenic lesions in fetal abdomen causes huge anxiety and stress to parents; therefore, it is important for the ultrasonographers to be up to date with the evidence-based management of these lesions. Most lesions would carry no or little risk to neonate; however, few cases may require careful planning to optimise the time and place of delivery. We describe four cases between February 2015 and December 2016 using machine Voluson S6 and E8.

scholarly journals Triple Atresia, Triple Threat? An Unusual Constellation of Primary Surgical Abnormalities

2021 ◽  
Vol 13 (2) ◽  
pp. 189-196
Author(s):  
Raef Jackson ◽  
Carmen Francis ◽  
Karim Awad ◽  
Semiu E. Folaranmi
Keyword(s):  
Literature Review ◽  
Neonatal Period ◽  
Oesophageal Atresia ◽  
Case Series ◽  
Duodenal Atresia ◽  
Vacterl Association ◽  
Term Survival ◽  
Staged Approach ◽  
Definitive Surgery

We present a case series of two patients with tracheo-oesophageal fistula with oesophageal atresia (TOF/OA), duodenal atresia (DA) and ano-rectal malformation (ARM). This constellation of abnormalities, dubbed triple atresia (TA), is a rare combination with few described cases in the literature. Here we describe our management of these cases, as well as the results of our literature review. Both of our cases had staged surgical procedures and were initially managed with thoracotomy for repair of TOF/OA on day two of life. They subsequently underwent laparotomy for management of their abdominal pathology at day five and seven of life. Both have survived the neonatal period and are awaiting definitive surgery for ARM. Literature review yielded seven cases of TA involving a TOF, DA, and ARM. Four patients underwent staged repair, while three patients underwent repair of TOF/OA, DA and colostomy for ARM at the same time. Of these three patients, two died, representing 22% of the overall cohort. Triple atresia remains a rare subset of patients suspected to have VACTERL association, however mortality may be significantly higher. Our data would suggest a staged approach to be optimal for long term survival.

VATER Association

2003 ◽  
Vol 22 (3) ◽  
pp. 71-75 ◽  
Author(s):  
Janie Spoon
Keyword(s):  
Ventricular Septal Defect ◽  
Tracheoesophageal Fistula ◽  
Umbilical Artery ◽  
Septal Defect ◽  
Vacterl Association ◽  
Anal Atresia ◽  
Single Umbilical Artery ◽  
Vater Association ◽  
Vertebral Defects ◽  
Cardiovascular Anomalies

VATER ASSOCIATION WAS FIRST described in 1973 as a nonrandom group of related defects, as follows: V = vertebral defects, A = anal atresia, TE = tracheoesophageal fistula, R = radial limb dysplasia.1 Since that time, various expansions of the acronym have been suggested in an effort to further define the scope of the VATER association. Temtamy and Miller expanded the V in VATER to include vascular anomalies, specifically, ventricular septal defect and single umbilical artery.2 An expansion of the acronym to VACTERL has been suggested, with the C denoting cardiovascular anomalies and the L denoting limb anomalies.3 The designation of VATER or VACTERL association can be made for infants with at least three of the defects designated in the acronym.4

“Scimitar” syndrome in fetus at I trimester with VACTERL-association

2019 ◽  
Author(s):  
I.V. Novikova, S.I. Kovalev, O.A. Tarletskaya
Keyword(s):  
Prenatal Diagnosis ◽  
Renal Pelvis ◽  
Tracheoesophageal Fistula ◽  
Ultrasound Examination ◽  
Oesophageal Atresia ◽  
Scimitar Syndrome ◽  
Pathological Examination ◽  
Vacterl Association ◽  
Atrioventricular Canal ◽  
Anorectal Atresia

A case of VACTERL-association in 12 weeks fetus is presented. Ultrasound examination demonstrated the signs of anorectal atresia, atrioventricular canal, dilated renal pelvis and hyperechogenic kidneys. Pathological examination confirmed prenatal diagnosis and revealed additional anomalies including “scimitar” syndrome, lung sequestration accompanied with tracheoesophageal fistula without oesophageal atresia.

scholarly journals Vestibular Derangement and Motion Intolerance in VATER Association

2017 ◽  
Vol 2017 ◽  
pp. 1-2
Author(s):  
Orit Samuel ◽  
Avi Shupak ◽  
Ayelet Eran ◽  
Dror Tal
Keyword(s):  
Congenital Malformations ◽  
Tracheoesophageal Fistula ◽  
Laboratory Diagnosis ◽  
Anal Atresia ◽  
Lateral Semicircular Canal ◽  
Vater Association ◽  
Bone Anomalies ◽  
Vertebral Defects ◽  
Field Defect ◽  
Radial Bone

VATER association is a nonrandom occurrence of congenital malformations: vertebral defects, anal atresia, tracheoesophageal fistula, renal defects, and radial bone anomalies. We report the case of a 19-year-old man with a childhood diagnosis of VATER association, who presented to the motion sickness clinic with severe seasickness. We discuss the clinical and laboratory diagnosis of vestibular pathophysiology, which was confirmed by MRI of lateral semicircular canal and vestibule dysplasia. We suggest the possibility of vestibular involvement as part of the developmental field defect associated with VATER syndrome, which hitherto has rarely been reported.

Prenatal diagnosis of type 1 tracheal agenesis without tracheoesophageal fistula

2009 ◽  
Vol 35 (2) ◽  
pp. 364-367 ◽  
Author(s):  
Qi-Chang Zhou ◽  
Wei-Yuan Shi ◽  
Tong Zhang ◽  
Lei-Qi Tian ◽  
Shi Zeng
Keyword(s):  
Prenatal Diagnosis ◽  
Tracheoesophageal Fistula ◽  
Tracheal Agenesis

scholarly journals Unusual presentations of actinomycosis: a case series and literature review

2021 ◽  
Vol 15 (06) ◽  
pp. 892-896
Author(s):  
Tomislava Skuhala ◽  
Dalibor Vukelić ◽  
Boško Desnica ◽  
Mirjana Balen-Topić ◽  
Andrija Stanimirović ◽  
...  
Keyword(s):  
Literature Review ◽  
Distal Part ◽  
Case Series ◽  
Clinical Problem ◽  
Blood Stream ◽  
University Hospital ◽  
Penile Shaft ◽  
Non Hodgkin Lymphoma ◽  
Clinical Presentations ◽  
The University

Introduction: To review unusual actinomycosis cases that appeared as a diagnostic and therapeutic challenge at our institution and to present a literature review on the usual clinical presentations. Methodology: This retrospective review included all patients hospitalized for actinomycosis in a 10-year period at the University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia. Results: A total of 15 patients were hospitalized during the observed period, 9 (60%) females and 6 (40%) males. The localizations of actinomycosis were: pelvis (5), lungs (3), blood stream (2), colon (1), penis (1), stomach (1), skin (1), cervicofacial region (1). We present four unusual cases: subcutaneous actinomycotic abscess, actinomycosis of the stomach with underlying non-Hodgkin lymphoma, sepsis due to Actinomyces neslundii originated from chronic asymptomatic periapical tooth abscesses and actinomycosis of the distal part of the penile shaft. Conclusions: Actinomycosis was a very rare clinical problem in our clinical practice (0.032% of all hospitalizations and 0.0034% of all outpatients) but among those cases classical clinical presentations were also very rare.

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