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DOI: 10.5146/tjpath.2014.01292
Congenital Complete Tracheal Ring in a Neonate: A Case Report
Esra ARUN ÖZER1, Süheyla CUMURCU2, Ümit BAYOL2, Senem ALKAN ÖZDEMİR1, Özkan İLHAN1, Sümer SÜTÇÜOĞLU1
1Department of Neonatology, Tepecik Training and Research Hospital, İZMİR, TURKEY
2Department of Pathology, Tepecik Training and Research Hospital, İZMİR, TURKEY
Keywords: Newborn, Respiratory distress syndrome, Tracheal stenosis, VACTERL association

Abnormalities of the upper airway tract lead to congenital high airway obstruction and may complicate neonatal airway management in the delivery room. Congenital complete tracheal rings are a rare and unusual tracheal anomaly, usually presenting in the neonate or infant as respiratory distress. The clinical presentation can vary from almost asymptomatic patients to near-fatal airway obstruction. It may exist as an isolated entity, or in association with other congenital malformations, in particular, cardiac anomalies along with vascular rings and pulmonary slings. Other associated anomalies have also been reported, for example, chromosomal anomalies, malformation of other parts of the respiratory tract, esophagus and skeletal systems. Here, we report an extreme case of VACTERL/TACRD association presented with congenital complete tracheal ring, encephalocele, bilateral radial agenesis with absent thumbs, equinovalgus deformity on right foot, low-set ears and micrognathia.

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