An 11-d-old baby presented with complaints of recurrent aspiration, lethargy, noisy breathing, and respiratory distress. The child was kept under positive pressure ventilation as the nasogastric tube (8Fr) could not be negotiated. Chest X-ray showed a coiled nasogastric tube in the lower neck and upper thorax and paucity of bowel gases in the abdomen (Fig.
1A). However, a smaller (5Fr) orogastric tube could be passed into the stomach. With clinical suspicion of tracheoesophageal fistula and esophageal atresia, the child underwent a contrast esophagogram. On contrast esophagogram, there was a free contrast flow across the esophagus into the stomach. However, there was another contrast-filled tubular blind-ending structure arising from the pharynx coursing parallel and posterior to the esophagus, reaching up to the mid-thoracic level (Fig.
1B-C). A diagnosis of partial tubular esophageal duplication was made. …
