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Congenital H-type tracheoesophageal fistula: a case report
1Department of Surgery, Yala Hospital, Thailand.
Insights
Congenital H-type tracheoesophageal fistula is a rare condition. Surgical repair led to a full recovery, enabling normal eating for a five-year-old boy.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Gastroenterology
Background:
- Congenital H-type tracheoesophageal fistula (TEF) is a rare anomaly characterized by an abnormal connection between the esophagus and trachea.
- This condition often presents with feeding difficulties, recurrent pneumonia, and failure to thrive, leading to delayed diagnosis.
Observation:
- A five-year-old male presented with a five-year history of coughing and choking during meals, along with recurrent pneumonia.
- Previous diagnoses were inconclusive until an esophagogram revealed a cervical H-type tracheoesophageal fistula.
Findings:
- Surgical division and suture of the congenital H-type tracheoesophageal fistula were performed successfully.
- The patient experienced an uneventful recovery and could resume normal oral feeding post-surgery.
Implications:
- This case highlights the importance of considering congenital H-type tracheoesophageal fistula in pediatric patients with persistent feeding issues and respiratory symptoms.
- Successful surgical intervention offers a favorable prognosis, enabling normal feeding and improved quality of life.
Abstract:
A case of congenital H-type tracheoesophageal fistula was reported. A five-year-old male presented with the symptom of coughing and choking during eating. He had experienced the symptom since the neonatal period. He was frequently admitted with the diagnosis of pneumonia but the definite diagnosis has never been established. The esophagogram revealed communication between cervical esophagus and trachea. The operation was performed by division and suture of the fistula uneventfully. Postoperatively, he could take meals normally. The literature of this condition was also reviewed.