Lung abscess: an unusual presentation of congenital tracheoesophageal fistula without atresia.

Abstract:

:Tracheoesophageal fistula (TEF) without atresia is rare and usually presents with symptoms from birth. In this report, a 9-year-old boy presented with productive cough of 4 month's duration and was shown to have a right lung abscess seen on chest radiograph. His parents denied earlier respiratory symptoms or illnesses. Rigid bronchoscopy showed a fistulous opening of about 1 mm in diameter in the posterior wall of the trachea about 16 cm from the upper incisor teeth. Cannulation with a ureteral catheter demonstrated that the fistulous opening communicated with the esophageal lumen. The tracheoesophageal fistula was 1 cm long and was divided through a right supraclavicular incision. The postoperative period was uneventful, and the patient was discharged on the third postoperative day. This case demonstrated that TEF should be considered in any patient presenting with chronic respiratory problems even after a prolonged symptom-free period.

journal_name

J Pediatr Surg

authors

Quah BS,Indudharan R,Hashim I,Simpson H

doi

10.1016/s0022-3468(98)90294-9

subject

Has Abstract

pub_date

1998-12-01 00:00:00

pages

1817-9

issue

12

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(98)90294-9

journal_volume

33

pub_type

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