Esophagopleural fistula

Last revised by Henry Knipe on 23 Jan 2023

Esophagopleural fistulas are abnormal connections between the esophagus and pleura


They can arise from a number of underlying pathologies which can result in an esophageal rupture 3:

Radiographic features


Thoracic CT with esophageal (oral) contrast may show a direct communication with the pleural space. Gas in the pleural space +/- pneumothorax/hydropneumothorax in correct clinical setting may also be useful in the diagnosis.

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Cases and figures

  • Case 1: spontaneous
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  • Case 2: iatrogenic
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  • Case 3: associated with lung cancer
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