Known case of esophageal carcinoma. Complaints of dysphagia and cough.
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Upper GI barium study shows contrast within the proximal and mid esophagus with simultaneous opacification of the trachea and bronchial tree with contrast representing tracheo-esophageal fistula.
Acquired tracheo-esophageal fistulae can be related to malignant or non-malignant causes. The malignant causes are more common and usually occurs in the elderly. Non-malignant causes include trauma, chronic infections like tuberculosis and iatrogenic e:g. post-tracheostomy.