Snapshot A newborn child is brought to the emergency room with excessive drooling, as well as coughing and choking during feeding. The physician notes cyanosis that is unrelieved by crying. Bilateral pulmonary rales are appreciated on exam. There is also abdominal distension with tympany on percusion. Introduction Congenital anomaly resulting in a tract between the trachea and esophagus Epidemiology Occurs in roughly 1:4000 births ETIOLOGY Associated with esophageal atresia and other VACTERL anomalies including login to view 7 more bullets Presentation Symptoms login to view 4 more bullets Physical exam login to view 6 more bullets IMAGING CXR login to view 1 more bullet KUB login to view 1 more bullet Bronchoscopy login to view 1 more bullet Prenatal Ultrasound login to view 1 more bullet Differential Esophageal atresia Treatment Prevention login to view 1 more bullet Surgical intervention login to view 3 more bullets Complications Aspiration pneumonia Choking Esophageal stricture post-operatively Reflux post-operatively Prognosis Good outcome with early prognosis and treatment