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November 1973

Recurrence of Tracheoesophageal Fistula

Author Affiliations

From the departments of pediatric surgery (Drs. Alvear and Cresson) and radiology (Dr. Kirkpatrick), St. Christopher's Hospital for Children; and the Temple University School of Medicine (Drs. Cresson and Kirkpatrick), Philadelphia. Dr. Alvear is now with the Polyclinic Hospital, Harrisburg, Pa.

Am J Dis Child. 1973;126(5):660-661. doi:10.1001/archpedi.1973.02110190532014

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.