CTICasesRecurrent H-Type Tracheoesophageal Fistula
Imaging findings
Esophagram and CT chest in an adult with a history of childhood H-type tracheoesophageal fistula (TEF) repair show a recurrent, small connection between the upper trachea and esophagus, visible as air tracking between the lumens, confirmed on bronchoscopy.
Key takeaways
Congenital H-type TEF is typically repaired in infancy. However, recurrences can occur in adulthood due to suture line dehiscence, tissue erosion, or local infection. Presenting signs include chronic, postprandial cough (coughing with swallowing) and recurrent pneumonia.
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