Tracheoesophageal fistula is an abnormal communication between the trachea and the oesophagus. It can be congenital or acquired. In the adults’ patients, acquired causes are more common than congenital. And then malignant fistulas are more common than benign ones. Tracheoesophageal fistulas are often the complication of a tracheotomy, of prolonged endotracheal intubation, especially when there is a nasogastric feeding tube. They can also occur after chest trauma, be of infectious or/and neoplastic origin. Successful management is hinged on prompt diagnosis and tailor-made surgical care. The aim of this article is to report a rare case of tracheal fistula in adults whose diagnostic and therapeutic management was difficult.

Keywords: Acquire, tracheoesophageal, fistula, surgery