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​Pathology - Tracheoesophageal Fistula
it is a congenital abnormality 
There are multiple variations of this condition, with the most prevalent variety (90%) involving the lower part of the esophagus connecting with the trachea at its division into two branches. As a result, the upper end of the esophagus forms a closed sac.

The newborn exhibits symptoms of choking, coughing, and vomiting during feeding. Hypersecretion of saliva; bluish discoloration and respiratory symptoms; inhalation and sudden, uncontrollable episodes

Complications may arise in the form of significant disturbances in fluid and electrolyte levels.
Imaging: The chest X-ray reveals the existence of a gastric air bubble.

Treatment: Surgical intervention for repair.

Tracheoesophageal fistula may coexist with additional anomalies, such as maternal polyhydramnios, congenital heart disease, and gastrointestinal deformities.
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