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Congenital Tracheoesophageal Fistula (H-type) in a Six-year-old

Departments of Radiology, Pediatric Radiology, and Pulmonology and Allergy, New England Medical Center Hospital, Floating Hospital, Boston, Massachusetts

Deborah C. terMeulen, MD

Department of Pediatric Radiology, New England Medical Center Hospital, 750 Washington Street, Boston, MA 02111

William F. H. Yee, MD

Departments of Radiology, Pediatric Radiology, and Pulmonology and Allergy, New England Medical Center Hospital, Floating Hospital, Boston, Massachusetts

The case of a six-year-old boy with newly diagnosed tracheoesophageal fistula of the H-type is presented. This diagnosis is usually made in the neonatal period, but since the symptoms may mimic other respiratory illnesses and radiologic diagnosis may be difficult, the condition may go undiagnosed for years. Since correction of a tracheoesophageal fistula is curative, the diagnosis should be entertained in any child with recurrent respiratory symptoms, especially when associated with meals. A brief discussion emphasizes the importance of good communication between the clinician and radiologist and of careful radiologic evaluation.

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