THE PRESENT report deals with a case of tracheoesophageal fistula resulting from a severe blow over the sternum. This condition is extremely rare, and in a search of the literature only 2 similar cases with recovery were found. One of these, like the present case, presented no evidence of accompanying fracture of the ribs, cartilages or sternum. Both of the other cases were apparently reported twice.
The relative frequency of tracheoesophageal fistula based on etiology is furnished by Mangabeira-Albernaz,1 who in 1933 studied 682 cases collected from the world literature. His classification of these fistulas is given in the table.
REPORT OF A CASE
—On March 30, 1947, a 29 year old man was brought to the hospital by the police about fifteen minutes after injury. The patient stated that while driving home after having had some drinks he fell asleep at the wheel and his car struck