RT Journal Article SR Electronic T1 Adult congenital tracheo-esophageal fistula with esophageal dysmotility and bronchiectasis JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 305 OP 307 VO 32 IS 3 A1 El-Essawy, Manar T. YR 2011 UL http://smj.org.sa/content/32/3/305.abstract AB Tracheo-esophageal fistulas (TEF) in adults are very rarely congenital in nature and most of the cases are secondary to neoplastic cause. We report a 26-year-old male with TEF that presented with chronic cough. An x-ray carried out for the patient showed upper lobe bronchiectasis and massive esophageal dilatation. There was no evidence of esophageal malignancy, achalasia, or Chagas' disease. There was no history of trauma, infection, or intervention. The CT demonstrated a small TEF, which was not visualized on esophagogram and confirmed by bronchoscopy. Our case demonstrated that idiopathic, or congenital TEF can be presented in adulthood with esophageal dysmotility and bronchiectasis.