Misdiagnosing esophageal perforation as esophageal atresia.

We report a case of traumatic perforation of esophagus misdiagnosed as esophageal atresia in a 1.7 kg preterm (28 weeks) twin. Initial resistance to the passage of orogastric tube and failure of passage of contrast material down the esophagus prompted the diagnosis of esophageal atresia. Subsequently, the passage of orogastric tube as well as radiological findings at the age of 7 days made us change the diagnosis to traumatic perforation of esophagus. The baby was managed conservatively and discharged in good health at the age of 2 months. Literature is reviewed and the attention of pediatricians is drawn to this problem.