Broncho-Esophageal Fistula Presenting as Bronchiectasis in a Nigerian Child

A case is presented of a five-year-old girl with history of intermittent episodes of cough and vomiting exacerbated by eating. A diagnosis of broncho-esophageal fistula was made on barium esophagography after she failed to improve on therapy for bronchiectasis and tuberculosis over a one-year period. The diagnostic considerations and management of broncho-esophageal fistula in the Nigerian child with bronchiectasis are described.