A Case of H-type Tracheoesophageal Fistula Diagnosed by Esophagography in Prone Position.

Cho,  Eun Young; Kim,  Ki Soo; Lim,  Jae Woo; Cheon,  Eun Jung; Ko,  Kyong Og; Kim,  Kyil Young

Case Report

Journal of the Korean Society of Neonatology 2004;11(2):225-229.
Published online November 1, 2004.

A Case of H-type Tracheoesophageal Fistula Diagnosed by Esophagography in Prone Position.

Eun Young Cho, Ki Soo Kim, Jae Woo Lim, Eun Jung Cheon, Kyong Og Ko, Kyil Young Kim

Department of Pediatrics, Konyang National University Medical School, Daejeon, Korea. kokojh@hitel.net

자세 변형 식도 조영술로 확인된 H형 식도 기관루

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Abstract

An H-type tracheoesophageal fistula is a rare congenital condition of which incidence is approximately 1: 50, 000-80, 000 births. Although patient usually has recurrent respiratory symptoms such as choking episodes and cyanotic spells, its rarity and atypical symptoms may delay its detection. Besides, conventional esophagogram often fail to find the defect. We reported a case of H-type tracheoesophageal fistula, diagnosed by tube esophagram with infant in the prone position. During the test, contrast medium was injected while the catheter is slowly withdraws from lower esophagus.

Key Words: H-type tracheoesophageal fistula; Esophagography; Prone position