CONGENITAL tracheoesophageal fistula without atresia, "H" type, is a rare anomaly in children, accounting for only 3% of all congenital tracheoesophageal malformations,1 and rarer still in the adult, with only five cases reported in the literature to this time.2-6 Similarly, nonacquired bronchoesophageal fistula without atresia is also a rare occurrence, with upwards of 18 cases being reported.7 In those instances, more than 50% had associated bronchiectasis, and embryologically the multiple fistulous sites to various major and minor bronchi cannot be explained on the basis of a single disturbance in the separating mechanism of the trachea and esophagus.7 However, a single disturbance can explain the "H"-type tracheoesophageal fistula.8,9 It would appear, then, that the "H"-type tracheosophageal fistula occupies a more unique anomalous position in the adult.
Report of a Case
A 32-year-old Negro man was admitted to Darnall Army Hospital on June 13, 1966, with a
Zack BJ, Owens MP. Congenital Tracheoesophageal Fistula in the Adult. Arch Surg. 1967;95(4):674-677. doi:10.1001/archsurg.1967.01330160144021