Gandra Abhinav

Tracheosephageal fistula (TEF) with Esophageal atresia (EA) is a rare congenital malformation, incidence of 1 in 3500 live births. TEF presents usually in a neonate on day 1 of life with respiratory distress, copious secretions, cyanosis, difficulty in passing Nasogastric tube along with antenatal history of polyhydramnios. A high index of suspicion is required for early diagnosis and management, to decrease the severity and morbidity and thereby preventing long term implications on neurological development. Currently, Survival rates surpassed 90% due to surgical advances, specialized anesthetic care, NICU care. However, there is a rise in TEF morbidity, partly secondary to the surgical repair or intrinsic to anatomical anomaly. Here, we described a case of a neonate admitted to Kamineni academy of medical sciences with a atypical presentation of Tracheosophageal fistula who responded well to treatment.   Keywords: Tracheosephageal fistula, Esophageal atresia