Author/Authors :
Dara, Naghi Pediatric Gastroenterology - Hepatology and Nutrition Research Center, Research Institute for Children’s Health - Shahid Beheshti University of Medical Sciences, Tehran , Sadr, Saeed Department of Pediatric Pulmonology - Mofid Children’s Medical Center - Shahid Beheshti University of Medical Sciences, Tehran , Ghoroubi, Javad Department of Pediatric Surgery - Mofid Children’s Medical Center - Shahid Beheshti University of Medical Sciences, Tehran , Tabatabaii, Ahmad Department of Pediatric Pulmonology - Mofid Children’s Medical Center - Shahid Beheshti University of Medical Sciences, Tehran , Khanbabaee, Ghamartaj Department of Pediatric Pulmonology - Mofid Children’s Medical Center - Shahid Beheshti University of Medical Sciences, Tehran , Imanzadeh, Farid Pediatric Gastroenterology - Hepatology and Nutrition Research Center, Research Institute for Children’s Health - Shahid Beheshti University of Medical Sciences, Tehran , Sayyari, Ali Akbar Pediatric Gastroenterology - Hepatology and Nutrition Research Center, Research Institute for Children’s Health - Shahid Beheshti University of Medical Sciences, Tehran , Hosseini, Amirhossein Pediatric Gastroenterology - Hepatology and Nutrition Research Center, Research Institute for Children’s Health - Shahid Beheshti University of Medical Sciences, Tehran , Farahbakhsh, Nazanin Department of Pediatric Pulmonology - Mofid Children’s Medical Center - Shahid Beheshti University of Medical Sciences, Tehran , Lotfollahzadeh, Saran Pediatric Surgery Research Center, Research Institute for Children’s Health - Shahid Beheshti University of Medical Sciences, Tehran , Mousavi Khorshidi, Mohadese Sadat Department of Pediatric Pulmonology - Mofid Children’s Medical Center - Shahid Beheshti University of Medical Sciences, Tehran
Abstract :
Broncho-esophageal fistula (BEF) is a rare congenital anomaly affecting the respiratory and upper gastrointestinal tract. The rarity
makes its timely diagnosis very challenging. This study presents a rare case of missed congenital BEF in a six-year-old girl with repaired
esophageal atresia in the neonatal period suffering from recurrent respiratory symptoms, choking, and respiratory distress
following eating, resulting in vomiting or regurgitation for three years before admission. While the contrast esophagography and
endoscopy had failed to diagnose her problem, the methylene blue test via an esophageal catheter observed by fiberoptic bronchoscopy
could detect the presence of BEF reliably in the present case. Presenting this case can raise physicians’ knowledge of the
diagnostic role of methylene blue test via fiberoptic bronchoscopy.
Keywords :
Broncho-Esophageal Fistula , Aspiration Pneumonia , Esophageal Atresia , Child
