Aim: Is to report a case of Traumatic trachea-esophageal fistula complicating long standing inhaled foreign 
body, which is rarely reported in the literatures and to compare it with others studies reporting similar case. 
Methods: The details, the presentation, both clinical and radiological findings. Bronchoscopic & 
esophagoscopic appearances of such case are presented. 
Results: The diagnosis was verified with contrast study and endoscopic findings .The corrective surgery 
was done through right thoracotomy where mobilization of the esophagus and trachea was made and the 
fistula was clearly demonstrate and divided and both sides were repaired with a smooth post operative 
outcome .
Conclusion: Meticulous bronchscopy and safe operator with a careful follow up is mandatory to prevent 
such complication and once it happened, surgery only offers the best chance of cure.