Isolated tracheoesophageal fistula in a 10-year-old girl.
Isolated tracheoesophageal fistula (H-TOF) is a rare type of tracheoesophageal anomaly and is in most cases diagnosed in the neonatal period because of choking and cyanosis during feeding. Diagnosis may be delayed even until adulthood because of nonspecific and sometimes intermittent symptoms, and because false-negative results of all diagnostic tools are not uncommon. We report a 10-year-old child with H-TOF, whose symptoms had nearly disappeared completely between the ages of 4 and 10 years. Diagnosis was only possible after the recurrence of the symptoms at the time of an episode of bronchitis, profound interrogation of the child's medical history, and questioning of the results of a former diagnostic work-up. In this article, we discuss the potential pitfalls in both clinical diagnosis and diagnostic work-up.
De Schutter
Iris
I
Department of Pediatrics, Pediatric Respiratory Medicine, Cystic Fibrosis Clinic and Infectiology, Academic Hospital Vrije Universiteit Brussel (AZ-VUB), Brussels, Belgium.
Vermeulen
Françoise
F
De Wachter
Elke
E
Ernst
Caroline
C
Malfroot
Anne
A
D001991:Bronchitis / Q000209:etiology*; D002648:Child; D004947:Esophagus / Q000002:abnormalities / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008751:Methylene Blue; D011014:Pneumonia / Q000209:etiology; D011859:Radiography; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000000981:diagnostic imaging*
D008751:Methylene Blue