Thoracic Surgery Department, Thoracic Surgery Unit, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Ann Thorac Med. 2012 Jan;7(1):48-50. doi: 10.4103/1817-1737.91553.
Congenital H-type tracheoesophageal fistula (TEF) in adults is a rare presentation and can test the diagnostic acumen of a surgeon, endoscopist, and the radiologist. These undetected fistulas may present as chronic lung disease of unknown origin because repeated aspirations can lead to recurrent lung infections and bronchiectasis. Congenital TEFs should be considered in the diagnosis of infants and young adults with recurrent respiratory distress and/or infections. Here, we present the successful management of this rare case in an adult patient.
成人先天性 H 型气管食管瘘（TEF）较为罕见，可能对外科医生、内镜医生和放射科医生的诊断能力构成挑战。这些未被发现的瘘管可能表现为不明原因的慢性肺部疾病，因为反复吸入可能导致反复肺部感染和支气管扩张。对于反复出现呼吸窘迫和/或感染的婴儿和年轻成人，应考虑到先天性 TEF 的可能性。在此，我们报告了一例成功治疗成人先天性 H 型气管食管瘘的罕见病例。
