Journal article
Presentation of an H-type tracheoesophageal fistula in an adolescent male with cystic fibrosis: A case report and review of literature
Clinical imaging, v 60(1), pp 38-47
01 Mar 2020
PMID: 31864198
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Congenital TEFs without esophageal atresia are rare but may occur more frequently than previously documented in literature. Careful history is required to suspect the diagnoses, as most patients will present with coughing associated with solid or liquids, recurrent unexplained pulmonary infections and complaints with eating. Some patients may show signs of chronic airway changes from recurrent aspiration pneumonia at the time of presentation. Diagnosis is challenging, with multiple imaging modalities including x ray, CT scan and esophogram able to identify a fistula. Surgery is required to improve quality of life and prevent chronic airway changes, and most cases repaired have no complications.
•Symptoms of TEF include cough with oral intake, respiratory infections or no symptoms.•The best initial test is esophogram with contrast performed by a skilled provider.•Repeat esophogram if clinical suspicion remains high despite negative studies.•Additional testing include CT and bronchoscopy, which is preferred over esohoscopy.
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Details
- Title
- Presentation of an H-type tracheoesophageal fistula in an adolescent male with cystic fibrosis: A case report and review of literature
- Creators
- Timothy M. Klouda - St. Christopher's Hospital for ChildrenErika Lindholm - St. Christopher's Hospital for ChildrenErica Poletto - St. Christopher's Hospital for ChildrenSeema Rani - St. Christopher's Hospital for ChildrenLaurie Varlotta - St. Christopher's Hospital for ChildrenJeanne Velasco - St. Christopher's Hospital for Children
- Publication Details
- Clinical imaging, v 60(1), pp 38-47
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000510531300008
- Scopus ID
- 2-s2.0-85076508621
- Other Identifier
- 991021838282404721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Radiology, Nuclear Medicine & Medical Imaging