Esophageal Atresia With H-Type Tracheo-Esophageal Fistula

  • Etiology: congenital
  • UGI: requires forceful contrast injection through feeding tube using pullback technique with patient in prone position starting in the distal esophagus to diagnose, false negative UGIs are common
  • Clinical: third most common (4%) esophageal atresia, diagnosis often delayed, may present with recurrent aspiration pneumonias, less associated with other anomalies

Cases of Esophageal Atresia With H-Type Tracheo-Esophageal Fistula

2 lateral images from an upper GI shows contrast in the esophagus as expected (posteriorly) and in the airway unexpectedly (anteriorly). An H-type fistula is clearly seen connecting the airway and the esophagus.
CXR shows diffuse infiltrates in the right upper and lower lobes and hyperexpansion. An upper GI showed a fistula between the esophagus and trachea.