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Pediatr Surg Int. 2011 Dec;27(12):1357-9. doi: 10.1007/s00383-011-2902-8. Epub 2011 Apr 24.

Recurrent tracheoesophageal fistula after thoracoscopic repair: vanishing clips as a potential sign.

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  • 1Department of Pediatric Radiology, Texas Children's Hospital, 6621 Fannin St., MC-CC470.01, Houston, TX 77030, USA.


We present a case of a neonate who underwent surgery for esophageal atresia (EA) with tracheoesophageal fistula (TEF) with an unusual finding on postoperative chest radiographs. In retrospect, this was a clue to a recurrent TEF: disappearance of the surgical clips from the site of surgical repair. Knowledge of this radiographic finding could aid in the diagnosis of a recurrent fistula in patients with previous repair of EA.

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