Day: March 26, 2023

Newborn with choking while feeding

UGI of esophageal atresia with H-type tracheo-esophageal fistula
CXR (left) shows dextrocardia and diffuse lung infiltrates bilaterally. Oblique image from a pull-back esophagram performed with a nasogastric tube while injecting low-osmolar water soluble contrast in the distal esophagus (right) shows opacification of the trachea and bronchial tree via a fistula.

The diagnosis was aspiration pneumonia due to esophageal atresia with H-type tracheo-esophageal fistula.