Presentation
Known case of esophageal squamous cell carcinoma. Post-surgery and esophageal stent placement status. The patient complains of right chest pain.
Patient Data
Esophageal stent in situ.
Evidence of relative wall thickening of the distal esophagus, gastro-esophageal junction, and gastric cardia is noted.
A fistula is observed between the right wall of the lower esophagus and the right lung lower lobe, with evidence of intraparenchymal abscess formation in the right lower lobe medial basal segment. Surrounding pneumonitic changes are observed.
Multiple enlarged mediastinal, hilar, and upper abdominal lymph nodes are seen.
Upper esophagus has diffuse mucosal hyperenhancement.
Case Discussion
Acquired esophageal-pulmonary fistula can occur due to neoplastic and inflammatory processes. It is also reported as a rare complication of radiation therapy 1.
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