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A case of acute respiratory distress syndrome associated with congenital H-type tracheoesophageal fistula and gastroesophageal reflux

Korean Journal of Pediatrics 2008;51(8):892-895.
Published online August 15, 2008.
A case of acute respiratory distress syndrome associated with congenital H-type tracheoesophageal fistula and gastroesophageal reflux
Heewon Chueh, Myo Jing Kim, Jin-A Jung
Department of Pediatrics, College of Medicine Dong-A University, Busan, Korea
급성호흡곤란증후군을 초래한 위식도역류와 H-형태의 선천기관식도루 1예
최희원, 김묘징, 정진아
동아대학교 의과대학 소아과학교실
Correspondence: 
Jin-A Jung, Email: jina1477@dau.ac.kr
Abstract
H-type tracheoesophageal fistula (TEF) is extremely rare in infants and children, and clinical manifestations of this condition are diverse based on its severity. Some cases of congenital TEF diagnosed in adulthood have been reported, which indicate the difficulty of early diagnosis of this disease. Gastroesophageal reflux (GER) may induce chronic aspiration, pulmonary aspiration, apparent life-threatening events, and failure to thrive. We report a 5-month- old boy whose recurrent pneumonia and wheezing did not improve under usual treatment and led to acute respiratory distress syndrome. He was found to have severe GER on the second-trial of the esophagogram and was eventually revealed to have congenital H-type TEF upon repeated evaluation.
Key Words: Acute respiratory distress syndrome, H-type tracheoesophageal fistula, Gastroesophageal reflux


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