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Rare disease
CASE REPORT
Tracheal agenesis in a new born: lessons learnt
  1. P Naina1,
  2. Mary John1,
  3. Mohamed Abdul Kathar1,
  4. Manish Kumar2
  1. 1Department of ENT, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India
  2. 2Department of Neonatology, Christian Medical College, Vellore, Tamilnadu, India
  1. Correspondence to Dr P Naina, drp.naina{at}hotmail.com

Summary

Tracheal agenesis is a rare but fatal congenital tracheal malformation. Lack of prenatal symptom and a typical clinical presentation lead to failure to arrive at a correct diagnosis and confusion during resuscitation. We report a case of a newborn male child with type 2 tracheal agenesis. Despite a typical presentation, diagnosis was delayed after unsuccessful intubation, examination under anaesthesia and emergency tracheostomy. The embryology, diagnostic criteria and potential treatment options are discussed. This case report is valuable in increasing awareness of this rare condition and will help us in being better prepared in managing these children. Future studies should aim to find the optimal replacement for the tracheal.

  • congenital disorders
  • otolaryngology / ENT
  • neonatal intensive care

https://doi.org/10.1136/bcr-2017-224003

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    Footnotes

    • Contributors PN: acquisition of data, drafting of manuscript and critical revision of manuscript for important intellectual content. MJ: acquisition of data and critical revision of manuscript for important intellectual content. MAK: acquisition of data and drafting of manuscript. MK: acquisition of data and critical revision of manuscript for important intellectual content supervision.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Next of kin consent obtained.

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