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H-type tracheo-oesophageal fistula
  1. M M Harjai1,
  2. R G Holla2,
  3. R Kale3,
  4. Y K Sharma4
  1. 1Department of Paediatric Surgery, Division of Surgery, Army Hospital (Research and Referral), Delhi Cantonment 110 010, India
  2. 2Department of Pediatrics and Neonatology, Army Hospital (Research and Referral)
  3. 3Department of Surgery and Pediatric Surgery, Army Hospital (Research and Referral)
  4. 4Department of Pediatrics, Military Hospital, Jodhpur, Rajasthan, India
  1. Correspondence to:
    M M Harjai
    Department of Paediatric Surgery, Division of Surgery, Army Hospital (Research and Referral), Delhi Cantonment 110 010, India; harjai101{at}hotmail.com

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H-type fistula is a rare, isolated form of tracheo-oesophageal fistula (TEF). A 9-month-old girl presented with paroxysms of persistent cough related to feeds. Repeated hospitalisations, empirical antibiotics, antitubercular treatment and various investigations failed to resolve her symptoms. A barium swallow confirmed an H-type TEF (fig 1). Thoracoscopic repair was attempted, but cardiorespiratory compromise owing to leakage of …

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