Isolated H-shaped tracheoesophageal fistula without esophageal atresia

Case contributed by Fazel Rahman Faizi
Diagnosis certain


Neonate with a persistent chest infection.

Patient Data

Age: 15 days
Gender: Male

This is an upper GI contrast study with low osmolar non-ionic contrast media.

Reference image demonstrates haziness in the right middle zone.

There is abnormal communication between proximal parts of the esophagus and trachea representing fistula. There is no evidence of esophageal atresia. There is no evidence of pyloric stenosis or intestinal malrotation.

Case Discussion

Isolated tracheoesophageal fistula without atresia constitutes approximately 4% of the congenital tracheoesophageal fistula and esophageal atresia. The diagnosis of H-type tracheoesophageal fistula without esophageal atresia can sometimes be challenging.

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