ISSN 2326-7283
African Journal of Internal Medicine ISSN 2326-7283 Vol. 7 (12), pp. 001-005, December, 2019. © International Scholars Journals
Case Report
Fluoroscopic technique used to diagnose missed H-type tracheo-oesophageal fistula: Case report
Benard Ohene Botwe1,2*, Y. B. Mensah2, Kafui Kekesi2, D. A. Anim2, E. Akpanu2, R. Vedenku2, W. K. Antwi1
1Department of Radiography, School of Biomedical and Allied Health Sciences, P. O. Box KB 143, University of Ghana, Ghana.
2Department of Radiology, Korle-Bu Teaching Hospital, P. O. Box 77, Korle-Bu, Ghana.
Accepted 03 April, 2019
Abstract
Congenital, isolated tracheo-oesophageal fistula (H-type) is a rare anomaly. It accounts for 4-5% of all congenital trachea-oesophageal malformations. This condition when undetected may present as chronic lung disease of unknown origin because repeated aspirations can lead to recurrent lung infections and bronchiectasis. Early diagnosis is essential in the newborn. However, the diagnosis of congenital H-typetracheo-oesophagealfistula is difficult. Oesophagram is usually a reliable radiographic method to identify the condition, though often requiring multiple attempts before the defect is confirmed. In some cases the disease may not be detected until adulthood. Herein, we present the fluoroscopic technique used to successfully diagnose originally missed H-type tracheo-oesophageal fistula at the Korle-Bu Teaching Hospital (KBTH), Ghana.
Key words: tracheo-oesophageal fistula, H-type, fluoroscopic techniques, ‘AP by feeding technique’.