Abstract：
H-type tracheo-oesophageal fistula is an uncommon type of tracheo-oesophageal malformation. Acute gastric volvulus is another infrequent pathology in children. They rarely present together.We report the case of a toddler with acute gastric volvulus possibly secondary to an undiagnosed H-type tracheo-oesophageal fistula. The fistula was suspected due to persistent gastric distention observed during volvulus detorsion. This kind of tracheo-oesophageal fistula often presents with subtle symptoms making early diagnosis difficult.Acute gastric volvulus is a life-threatening condition. Gastric distension caused by the passage of air into the stomach through the fistula could be a triggering factor for gastric volvulus.
摘要：
H型气管食管瘘是一种少见的气管食管畸形。急性胃扭转是儿童中另一种罕见的病理。他们很少在一起。我们报告了一名幼儿患有急性胃扭转的病例，该病例可能继发于未诊断的H型气管食管瘘。怀疑瘘管是由于在扭转术中观察到的持续胃胀。这种气管食管瘘通常表现为微妙的症状，使早期诊断困难。急性胃扭转是一种危及生命的疾病。由空气通过瘘管进入胃引起的胃扩张可能是胃扭转的触发因素。
