title: Late presentation of congenital tracheo-oesophageal fistula.
abstract: Congenital tracheo-oesophageal fistula presenting in adulthood is extremely rare. Such a case is presented in a patient who suffered repeated chest problems as an infant, which persisted through the years, and was ultimately diagnosed as 'bakers lung' due to his occupation. He was referred with persistent cough to the ENT department, and an upper endoscopy located a tracheo-oesophageal fistula, which was subsequently resected with complete resolution of his symptoms. Unresolving chest problems or persisting cough should alert the doctor to such a possible diagnosis.
authors.affiliation: Department of Otolaryngology, Rotherham District General Hospital, Moorgate Road, Rotherham, South Yorkshire, S60 2UD, UK.
authors.forename: F E
authors.initials: FE
authors.lastname: Fahmy
authors.forename: J M
authors.initials: JM
authors.lastname: Lancer
authors.forename: A
authors.initials: A
authors.lastname: Ahmed
mesh_terms: D000328:Adult; D001424:Bacterial Infections / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008416:Mastoid; D018482:Muscle, Skeletal / Q000637:transplantation; D013249:Sternum; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D014138:Tracheoesophageal Fistula / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery