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Late presentation of congenital tracheo-oesophageal fistula

F E Fahmy1, J M Lancer, A Ahmed

  • 1Department of Otolaryngology, Rotherham District General Hospital, Moorgate Road, Rotherham, South Yorkshire, S60 2UD, UK.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|August 10, 2006
PubMed

Insights

Congenital tracheo-oesophageal fistula is rare in adults. Early diagnosis and surgical resection of this condition can fully resolve persistent respiratory symptoms.

Area of Science:

  • Medical Science
  • Otolaryngology
  • Pulmonology

Background:

  • Congenital tracheo-oesophageal fistula (TOF) is a rare condition, particularly when presenting in adulthood.
  • Persistent infant respiratory issues can sometimes be undiagnosed congenital malformations.

Observation:

  • A patient with a history of recurrent infant chest problems presented with a persistent cough.
  • Initial misdiagnosis as occupational lung disease ('baker's lung') delayed definitive diagnosis.
  • Upper endoscopy revealed a congenital tracheo-oesophageal fistula.

Findings:

  • Surgical resection of the congenital tracheo-oesophageal fistula was performed.
  • Complete resolution of the patient's long-standing respiratory symptoms was achieved post-surgery.

Implications:

  • Persistent cough and unresolved chest problems in adults warrant investigation for rare congenital anomalies like TOF.
  • Timely diagnosis and surgical intervention can lead to complete symptom resolution.

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