Peter Ferenc, Dalibor Murgaš, František Strmiska, Tomáš Strachan, Martina Miškovská, Peter Mikolajčik, Jaroslav Fábry
Tracheoesophageal fistula is a pathological communication between the esophagus and trachea. It usually occurs simultaneously
with esophageal atresia. Its incidence is reported at approximately 1 in 2500 – 3500 live births. However,
only about 3-4 % is an isolated H-type fistula without concomitant esophageal atresia. Tracheoesophageal fistula
typically result from incomplete mesodermal separation of the primitive foregut. Approximately 50 % of such cases
are associated with other developmental abnormalities. It is clinically manifested prenatally with formation of polyhydramnios
or with choking and cyanosis during feeding in the first days of life. H-type fistula may be undetected for
a long time and first manifestations are feeding difficulties and recurrent pneumonia. Pneumonia most often affects
a right upper lobe. In our presentation, we will show you the atypical case of 3-year old boy, with a focus on the diagnosis
and treatment of disease.