An alarming Imaging comorbidity which wasn‘t.

Dr Shashi Girish Gupta; Dr Girish Gupta

Volume : VI, Issue : IV, April - 2016

An alarming Imaging comorbidity which wasn‘t.

Dr Shashi Girish Gupta, Dr Girish Gupta

Abstract :

A 38 weeks‘ term, weighing 2.5 kgs, baby had respiratory distress. Chest X–ray revealed Congenital Diaphragmatic Hernia(CDH) left, upturned nasogastric tube (NGT) in upper esophagus, pathognomonic of oesophageal atresia (OA) along with Pneumothorax left. However, before sending for surgery, to be sure of OA, the NGT was removed and reinserted and this time, the tube went right down to stomach and excluded OA conclusively. This case underlines the importance of execution of sound Clinical Principles and Practices of ensuring or double checking by skills or interventions before diagnosing a rare disease or comorbidity, as in this report, timely reinsertion of feeding tube excluded OA, a rare comorbidity of combination of OA with CDH, preoperatively