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Esophageal Atresia Without Tracheo-Esophageal Fistula
Etiology: congenital
CXR: dilated proximal pouch with coiled nasogastric tube within it, no distal intestinal gas
Complications: often have a long gap
Clinical: second most common (10%) esophageal atresia
Cases of Esophageal Atresia Without Tracheo-Esophageal Fistula
AP image from a vintage upper GI shows contrast that had been injected into a dilated proximal esophageal pouch (left) that was subsequently aspirated into the trachea (right).AXR shows a gasless abdomen. Segmentation anomalies are noted in the sacrum suggesting the presence of VATER syndrome.CXR | AXR shows a nasogastric tube in the proximal esophagus and a massively distended abdomen. Transverse US image of the upper abdomen (below) shows a dilated duodenal bulb (left) and a dilated stomach (right), a double-bubble sign.CXR AP and Lateral shows a nasogastric tube that cannot be further advanced into the distal esophagus.