ABSTRACT

An isolated or H-type tracheoesophageal fistula most commonly presents during the first few days of life, when the neonate chokes on attempting to feed and/or has unexplained cyanotic episodes. The associated gaseous distension of the gastrointestinal tract may be sufficiently severe to mimic that of intestinal obstruction. Older infants and children are likely to present with recurrent chest infections, particularly involving the right upper lobe.