Case Report - Late Presentation of Congenital H - Type Tracheooesophageal Fistula

H - type tracheo oesophageal fistula is a rare congenital anomaly that is mainly diagnosed in the neonatal age. H -type isolated tracheo oesophageal fistula presents with a characteristic triad of symptoms : chocking and cyanosis on feeeding, recurrent lower respiratory tract infection and abdominal distension. Symptoms may be intermittent and vary in severity. A high index of suspicion is required because the symptoms are not specific. Preoperative diagnosis and locating it at surgery are both difficult. Surgical division of the fistula is curative . We here reporting a case of h - type tracheo oesophageal fistula which is very rare.