PIONEERING HOPE: MANAGING COMPLEX TYPE C TEF IN A NEWBORN

Background: Tracheoesophageal fistula (TEF) is a congenital anomaly requiring prompt diagnosis and surgical management. Type C TEF, the most common variant, poses significant challenges, especially in resource-limited settings.

Case Presentation: A male neonate delivered via LSCS at 39+6 weeks gestation presented with immediate respiratory distress and inability to pass an orogastric tube. Initial findings suggested Type C TEF complicated by sepsis and respiratory distress syndrome. Diagnostic investigations revealed congenital heart defects, including PDA and ASD, with elevated CRP levels indicating inflammation. The neonate underwent surgical correction on Day 2, involving fistula ligation and esophageal anastomosis. Postoperative care included antibiotics, nebulization, and supportive measures, resulting in a favorable recovery.

Outcomes: The neonate was discharged on Day 6 in satisfactory condition with no immediate complications. Follow-up care was advised to monitor for potential postoperative issues.

Discussion: Type C TEF requires a multidisciplinary approach for optimal outcomes. This case underscores the importance of early diagnosis, skilled surgical intervention, and meticulous postoperative care, even in resource-limited settings.

Conclusion: This report highlights the successful management of Type C TEF, emphasizing the role of timely intervention and continued follow-up to ensure long-term health and development.