Tracheo-esophageal fistula

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis certain

Presentation

Known case of esophageal carcinoma. Complaints of dysphagia and cough.

Patient Data

Age: 90 years
Gender: Male
Fluoroscopy

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.

Case Discussion

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.

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