An H-type rectourethal fistula was seen in a male child. The anus and anterior urethra were normal. The embryology and surgical management of this rare anomaly are discussed.
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The Hidden Culprit: A Computed Tomography Diagnosis of H-Type Tracheoesophageal Fistula in an Adult Revealed After Two Decades of Pulmonary Infections.
Cureus
October 2024
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Article Synopsis
- A 41-year-old male with a history of cardiopathy and respiratory issues presented with severe symptoms related to heart failure, including significant dyspnea and edema after years of recurrent infections.
- Diagnostic tests revealed multiple complications including dilation of cardiac chambers and a rare congenital condition known as H-type tracheoesophageal fistula (TEF), which contributed to his respiratory problems.
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'H-type' duplex gallbladder resected laparoscopically with transcystic choledochoscopy and stone retrieval.
BMJ Case Rep
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General Surgery, Glangwili General Hospital, Carmarthen, Carmarthenshire, UK.
A duplex gallbladder is an extremely rare congenital anomaly that while may remain asymptomatic, may also develop into biliary colic, cholecystitis, cholangitis or pancreatitis. In these circumstances, it is advisable to surgically remove both gallbladders. Typically, a cholecystectomy is performed laparoscopically as this aids patient recovery and complication risk; however, when congenital abnormalities are present, some may choose to revert to an open operation.
View Article and Find Full Text PDFWorth the Wait? The Impact of Timing of Repair of Esophageal Atresia With Tracheoesophageal Fistula on Outcomes.
J Pediatr Surg
February 2025
Rady Children's Hospital San Diego, Division of Pediatric Surgery, 3020 Children's Way, San Diego, CA 92123, USA; University of California San Diego School of Medicine, Department of Surgery, 9500 Gilman Dr, La Jolla, CA 92093, USA. Electronic address:
Introduction: Infants with esophageal atresia and tracheoesophageal fistula (EA/TEF) are at increased risk for respiratory compromise and gastric perforation until fistula ligation. We sought to describe current practice regarding the timing of EA/TEF repair and hypothesized that age at repair is a predictor of adverse outcomes.
Methods: The Pediatric Health Information System (PHIS) database was used to identify patients with EA/TEF who underwent fistula ligation and esophago-esophagostomy at US children's hospitals from July 2016-June 2021.
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Tracheoesophageal fistula (TEF) is a congenital anomaly resulting from the incomplete fusion of the tracheoesophageal ridge during the third week of embryonic development. This case report presents a male neonate, born at term via normal vaginal delivery, who developed respiratory distress, persistent cough, and vomiting within hours of birth. Despite initial management with respiratory support and antibiotics, the infant's condition persisted, prompting further investigation.
View Article and Find Full Text PDFA case of H-type double gallbladder anomaly: A case report.
Medicine (Baltimore)
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Cancer Research Center, School of Medicine, Xiamen University, Xiamen, Fujian, PR China.
Rationale: Biliary system anomalies, such as duplicated gallbladders, are rare congenital conditions that present significant diagnostic challenges. Dr. Boyden's classification system, especially the H-type anomaly, offers vital insight into these variations.
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