Case Report of Neonatal Bronchoesophageal Fistula With Esophageal Atresia

We report a rare case of congenital esophageal atresia (EA) associated with bronchoesophageal fistula (BEF) identified intraoperatively in a neonate initially presumed to have tracheoesophageal fistula (TEF). Intraoperative fiberoptic bronchoscopy facilitated the localization and confirmation of the fistula prior to surgical ligation. The BEF was ligated via open thoracotomy. Esophageal repair was deferred due to a long gap between proximal and distal esophagus pouches. This case underscores the importance of comprehensive airway evaluation in neonates with suspected TEF/EA.