case_images: PMC7300232_01
case_images: PMC7300232_02
case_images: PMC7300232_03
case_images: Plain chest x-ray taken on the 16th day of life shows rigid tube with tip at T8 vertebra. Part of the tube is bent with irregular orientation inside the wide esophagus. Repeat x-ray on the same day also shows coiling of the tube around the same level.
case_images: gr1.jpg
case_images: PMC7300232_03_gr1.jpg
case_images: fig0005
case_images: T8 level. There was also consolidation of the right upper lobe and gas in the stomach (Fig. 1).
case_images: Esophagogram taken on the 20th day of life (AP and lateral views) demonstrate dilated esophagus tapering abruptly at T8 level.
case_images: gr2.jpg
case_images: PMC7300232_03_gr2.jpg
case_images: fig0010
case_images: Thereafter a barium swallow study was obtained which demonstrated a long dilated upper esophageal pouch reaching the lower chest (Fig. 2).
case_images: PMC7300232_04
case_images: Intraoperative image taken without any mobilization of the esophageal ends. The upper esophageal pouch (black arrow) was found dilated with thick wall and overlapping the lower esophagus (white arrow). The upper esophagus was held with vicryl stay suture to elevate it off the distal esophagus which was identified and held with a loop.
case_images: gr3.jpg
case_images: PMC7300232_04_gr3.jpg
case_images: fig0015
case_images: We found the upper esophageal pouch redundant, overlapping the distal fistula (Fig. 3).
case_images: PMC7300232_05