Tracheo-esophageal fistula - H type

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Frequent aspiration, episodes of chest infection.

Patient Data

Age: Infant
Gender: Male
Fluoroscopy

The tip of the NG tube is seen in the cervical esophagus.
Opacification of the esophagus is seen with evidence of a fistula between the proximal esophagus and trachea (H/N type).
There is a lucent band in the esophagus distal to the fistula causing more than 60 percent luminal narrowing and patency of the remaining part (? incomplete atretic point).
The distal esophagus is well opacified to the gastroesophageal junction.

Case Discussion

In the current case, a large H/N type tracheoesophageal fistula is seen with an incomplete atretic point of the esophagus.

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