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Chest clinic
Case based discussions
Case-based discussion from the neonatal intensive care unit: a case of an intentional oesophageal intubation
  1. Katharine Jamieson1,
  2. Stephanie Boyd1,
  3. Susern Tan1,
  4. Davina Wong2,
  5. Paul James3,
  6. Andrew Durward3,
  7. Andrew Nyman3
  1. 1 Neonatal Intensive Care Unit, Evelina London Children’s Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
  2. 2 Department of Anaesthetics, Evelina London Children’s Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
  3. 3 Paediatric Intensive Care Unit, Evelina London Children’s Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
  1. Correspondence to Dr Andrew Nyman, Paediatric Intensive Care Unit, Guy’s and St Thomas NHS Foundation Trust, St Thomas’ Hospital, London SE1 7EH, UK; andrew.nyman{at}gstt.nhs.uk

Abstract

Tracheal agenesis (TA) is a rare congenital defect consisting of complete or partial absence of the trachea below the larynx. Antenatal diagnosis is challenging, and most cases are detected in the postnatal period. Airway management of such cases, particularly in the absence of antenatal diagnosis, can be challenging. Various methods of management have been described but with limited success, and overall prognosis remains very poor. We present an unexpected case of TA, highlighting management issues and diagnostic methods.

  • bronchoscopy
  • imaging/CT MRI etc
  • non invasive ventilation
  • rare lung diseases

https://doi.org/10.1136/thoraxjnl-2017-210717

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    Footnotes

    • Contributors AN conceptualised the case report based on a clinical case for which all authors were closely clinically involved. KJ drafted the initial manuscript. All authors participated in the revision of the initial and subsequent versions of the manuscript and approved the final manuscript as submitted.

    • Competing interests None declared.

    • Patient consent Guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.