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Peer-reviewedCC BYBMC pediatrics

Intubation videoendoscopy in a preterm infant with congenital tracheal stenosis and laryngotracheoesophageal cleft: a case report.

  • Yu Namikata1
  • Kouji Motokura2
  • Yuki Tenma3
  • Kotaro Eriguchi4
  • Kentaro Watanabe4
  • Kotaro Inaguma5
  • Shinya Okamoto4
  • Yoshinobu Nishida3
5 affiliations
  1. 1Department of Pediatrics, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan. [email protected].
  2. 2Department of Pediatrics, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan. [email protected].
  3. 3Department of Pediatrics, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.
  4. 4Department of Pediatric Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.
  5. 5Department of Pediatric Cardiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa-cho, Amagasaki, Hyogo, 660-8550, Japan.
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Abstract

Background

The co-occurrence of congenital laryngotracheoesophageal cleft and tracheal stenosis is extremely rare. Diagnosis is difficult and many affected neonates die within hours to days.Case presentation

A male neonate was delivered at 32 weeks and 5 days of gestation. Birth weight was 1364 g. Severe asphyxia and respiratory failure were apparent soon after birth. Endotracheal intubation was not successful and esophageal intubation did not provide effective ventilation. Flexible intubation videoendoscopy was performed immediately while continuing mask bagging, which identified congenital laryngotracheoesophageal cleft and tracheal stenosis. Considering the diagnosis, our inability to intubate, and the patient's other anomalies including left diaphragmatic hernia and congenital heart disease, palliative care was proposed and the family agreed. He died 4 h after birth.Conclusions

Congenital laryngotracheoesophageal cleft and tracheal stenosis, a rare and mostly fatal anomaly, can be diagnosed in neonates using intubation videoendoscopy. Rapid diagnosis allows for the early introduction of palliative care.

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Cite

BibTeXRIS
BibTeX
@article{namikata2026intubation,
  title = {{Intubation videoendoscopy in a preterm infant with congenital tracheal stenosis and laryngotracheoesophageal cleft: a case report.}},
  author = {Yu Namikata and Kouji Motokura and Yuki Tenma and Kotaro Eriguchi and Kentaro Watanabe and Kotaro Inaguma and Shinya Okamoto and Yoshinobu Nishida},
  journal = {BMC pediatrics},
  year = {2026},
  month = jul,
  doi = {10.1186/s12887-026-07339-8},
  url = {https://europepmc.org/article/MED/42902262},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Intubation videoendoscopy in a preterm infant with congenital tracheal stenosis and laryngotracheoesophageal cleft: a case report.
AU  - Yu Namikata
AU  - Kouji Motokura
AU  - Yuki Tenma
AU  - Kotaro Eriguchi
AU  - Kentaro Watanabe
AU  - Kotaro Inaguma
AU  - Shinya Okamoto
AU  - Yoshinobu Nishida
PY  - 2026
DA  - 2026/07/01
JO  - BMC pediatrics
DO  - 10.1186/s12887-026-07339-8
UR  - https://europepmc.org/article/MED/42902262
AB  - Background  The co-occurrence of congenital laryngotracheoesophageal cleft and tracheal stenosis is extremely rare. Diagnosis is difficult and many affected neonates die within hours to days.Case presentation  A male neonate was delivered at 32 weeks and 5 days of gestation. Birth weight was 1364 g. Severe asphyxia and respiratory failure were apparent soon after birth. Endotracheal intubation was not successful and esophageal intubation did not provide effective ventilation. Flexible intubation videoendoscopy was performed immediately while continuing mask bagging, which identified congenital laryngotracheoesophageal cleft and tracheal stenosis. Considering the diagnosis, our inability to intubate, and the patient's other anomalies including left diaphragmatic hernia and congenital heart disease, palliative care was proposed and the family agreed. He died 4 h after birth.Conclusions  Congenital laryngotracheoesophageal cleft and tracheal stenosis, a rare and mostly fatal anomaly, can be diagnosed in neonates using intubation videoendoscopy. Rapid diagnosis allows for the early introduction of palliative care.
SN  - 1471-2431
ER  -