Acquired tracheoesophageal fistula in infancy and childhood.
Acquired tracheoesophageal fistula (TEF) is a rare entity in the pediatric age group. We report two pediatric patients with acquired TEF caused by shells of pistachio nuts. In both patients the primary operation did not resolve the problem and a second intervention for recurrent fistula was needed. The special nature of acquired TEF, particularly the one described herein, requires delayed surgical intervention and meticulous separation of the respiratory and alimentary tracts by an intercostal muscle flap.
Department of Pediatric Surgery, Hadassah University Hospital Mount Scopus, Jerusalem, Israel.
A
A
Szold
R
R
Udassin
D
D
Seror
P
P
Mogle
S
S
Godfrey
D002675:Child, Preschool; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000601:surgery*