A rare case of H-type tracheoesophageal fistula associated with congenital oesophageal stenosis

Authors

DOI:

https://doi.org/10.36303/SAJS.02928

Keywords:

H-type tracheoesophageal fistula, congenital oesophageal stenosis, oesophageal atresia, VACTERL, paediatric surgery case reports

Abstract

H-type tracheoesophageal fistula (TOF) occurring in conjunction with congenital oesophageal stenosis (CES) is an infrequently reported condition. We present such a case in an infant with respiratory difficulty since birth. This report displays the challenges in diagnosis and the subsequent surgical management of this complex anomaly. A staged surgical approach, prioritising surgical ligation of the TOF followed by balloon dilatation of the CES proved to be effective with a favourable outcome.

Author Biographies

CF Kohler, Stellenbosch University

Division of Paediatric Surgery, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, South Africa

N Fourie, Stellenbosch University

Division of Paediatric Surgery, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, South Africa

CE Le Roux, Stellenbosch University

Division of Radio-Diagnosis, Tygerberg Hospital, Stellenbosch University, South Africa

P Goussard, Stellenbosch University

Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, South Africa

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Published

2026-06-10

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Section

Online Ahead of Print