An unusual case of esophageal atresia and double distal tracheoesophageal fistula

An unknown second tracheoesophageal fistula: a rare cause of postoperative respiratory failure

The case of a 6-year-old boy who developed complications following gastric interposition surgery for severe, recurrent esophageal stricture is reported. Investigation of his pleural effusion revealed a rare and unexpected complication.