A “little cough” for 40 years

Anesthetic management of the complications of previously undiagnosed ingested foreign body in a pediatric patient

“…It is more likely that the foreign body was ingested and then either worked its way through a preexisting fistula or eroded its way from the esophagus into the trachea causing an acquired fistula. Congenital tracheoesophageal fistula without atresia (H type) may remain undiagnosed until adulthood (2) and the history of chronic respiratory problems from an early age in our patient may be consistent with this diagnosis. However a tracheoesophageal fistula had not been suspected from the history and was only diagnosed once the trachea had been opened, hence no preoperative imaging had been performed.…”

Congenital H-type tracheoesophageal fistula in adults

“…Heightened alert regarding this condition is needed to allow early diagnosis and treatment. Only about 20 adult congenital H-type TEFs have been reported in the English literature (4)(5)(6)(7)(8)(9)(10)(11)(12). This report is adding three patients to the limited world experience.…”

Management of concomitant congenital tracheo-oesophageal fistula and cancer of the oesophago–gastric junction in an adult

“…Presentation in the adulthood is rare and there have only been 16 such reported cases in the English literature [1]. Successful surgical treatments of congenital TOF in the adults using different approaches have been well described previously [1][2][3][4]. The concomitant presence of oesophageal carcinoma however has not been previously reported and presents a treatment dilemma as to whether a staged or simultaneous surgical treatment should be performed.…”