The late appearance of recommunication or recurrence of tracheoesophageal fistula following primary repair is rare. This recurrence is usually manifested early in life. A 14-year-old girl was recently operated upon at St. Christopher's Hospital for Children for a recurrent tracheoesophageal fistula. She has remained asymptomatic since the operation. Recurrent aspiration pneumonia or episodic coughing suggests strongly the presence of recurrent tracheoesophageal fistula. The diagnosis can be made by utilizing appropriate roentgenographic techniques.
Alvear DT, Cresson SL, Kirkpatrick JA. Recurrence of Tracheoesophageal Fistula. Am J Dis Child. 1973;126(5):660-661. doi:10.1001/archpedi.1973.02110190532014