Tracheo-esophageal fistula - H type

Case contributed by Frank Gaillard
Diagnosis certain


Recurrent respiratory symptoms.

Patient Data

Age: Infant
Gender: Male

CXR over a number of days


A series of chest x-rays obtained of a number of days (timing not available) showing consolidation and atelectasis bilaterally shifting in location. NGT passes into the stomach and gastric air bubble present. 


Barium swallow demonstrates a large H-type tracheo-esophageal fistula. Note how the fistula actually slants a little downwards from the trachea to the esophagus, leading some authors to refer to this as an N-type fistula.

Case Discussion

Case courtesy of Dr Michael Sargent, BC Children's hospital, Vancouver, BC, Canada.

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