Singh, KNPradhan, SThapa, BShrestha, UKSayami, P2026-06-162026-06-162009https://hdl.handle.net/20.500.14572/6532K.N Singh Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Tribhuwan University Teaching Hospital , Kathmandu, Nepal S. Pradhan Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Tribhuwan University Teaching Hospital , Kathmandu, Nepal B. Thapa Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Tribhuwan University Teaching Hospital , Kathmandu, Nepal U.K. Shrestha Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Tribhuwan University Teaching Hospital , Kathmandu, Nepal P. Sayami Cardiothoracic and Vascular Surgery Unit, Department of Surgery, Tribhuwan University Teaching Hospital , Kathmandu, NepalAbstract Tracheoesophageal and bronchoesophageal fistulas are usually diagnosed early in life after an infant presents with difficulty in feeding or recurrent pneumonia. These conditions rarely present in adulthood. We report the case of a 65-year-old man who presented with chest discomfort and cough particularly after meals for three months. Workup including a barium esophagogram revealed bronchoesophegeal fistula. Dissection of the fistula and pedicled intercostal muscle flap repair was done.en-USArticle