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Peer-reviewedCC BYBMC Pediatrics

Is a tracheoesophageal fistula management still a challenge in low resource setting? Case report of rare type D tracheoesophageal fistula and literature review

  • Alfred Chibwae1
  • Andrew Jackson1
  • Arnold Matemu1
  • Evelyne N. Assenga2
  • Rajabu A. Bakari1
  • Carlos Balole1
  • Jeanine Justiniano3
  • Mohamed A. Salim1
  1. 1Department of Surgery, Muhimbili University of Health and Allied Sciences
  2. 2Department of Pediatrics and Child Health, Muhimbili University of Health and Allied Sciences
  3. 3Department of Surgery, University of California Medical Center
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Abstract

Management of the common TEF cases have been with low promising outcomes in low resourced countries as compared to developed countries. Type D Tracheoesophageal fistula is a most rare condition whose management experience, challenges and outcomes are not adequately documented especially in developing countries. We are presenting 19-day old male delivered at term with a birth weight of 4.0 kg. The patient presented with features suggesting of Type C TEF and was successful managed after intraoperative diagnosed as type D TEF. Close monitoring postoperatively was a priority. The successful surgical experience from this case highlights the approach and perioperative management of type D TEF while advancing to minimal invasive in low resource settings with neonatal ICU care. We recommend that, surgical management to be done as earlier as possible as the patient diagnosed with Type D TEF has higher risk of gastric aspirates to the airways. Post operatively, early extubating, early initiation of feeding and Intravenous fluids principles as highlighted in this case is advised.

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Cite

BibTeXRIS
BibTeX
@article{chibwae2026tracheoesophageal,
  title = {{Is a tracheoesophageal fistula management still a challenge in low resource setting? Case report of rare type D tracheoesophageal fistula and literature review}},
  author = {Alfred Chibwae and Andrew Jackson and Arnold Matemu and Evelyne N. Assenga and Rajabu A. Bakari and Carlos Balole and Jeanine Justiniano and Mohamed A. Salim},
  journal = {BMC Pediatrics},
  year = {2026},
  month = aug,
  doi = {10.1186/s12887-026-07236-0},
  url = {https://doi.org/10.1186/s12887-026-07236-0},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Is a tracheoesophageal fistula management still a challenge in low resource setting? Case report of rare type D tracheoesophageal fistula and literature review
AU  - Alfred Chibwae
AU  - Andrew Jackson
AU  - Arnold Matemu
AU  - Evelyne N. Assenga
AU  - Rajabu A. Bakari
AU  - Carlos Balole
AU  - Jeanine Justiniano
AU  - Mohamed A. Salim
PY  - 2026
DA  - 2026/08/01
JO  - BMC Pediatrics
DO  - 10.1186/s12887-026-07236-0
UR  - https://doi.org/10.1186/s12887-026-07236-0
AB  - Management of the common TEF cases have been with low promising outcomes in low resourced countries as compared to developed countries. Type D Tracheoesophageal fistula is a most rare condition whose management experience, challenges and outcomes are not adequately documented especially in developing countries. We are presenting 19-day old male delivered at term with a birth weight of 4.0 kg. The patient presented with features suggesting of Type C TEF and was successful managed after intraoperative diagnosed as type D TEF. Close monitoring postoperatively was a priority. The successful surgical experience from this case highlights the approach and perioperative management of type D TEF while advancing to minimal invasive in low resource settings with neonatal ICU care. We recommend that, surgical management to be done as earlier as possible as the patient diagnosed with Type D TEF has higher risk of gastric aspirates to the airways. Post operatively, early extubating, early initiation of feeding and Intravenous fluids principles as highlighted in this case is advised.
SN  - 1471-2431
ER  -