Esophageal Squamous Cell Carcinoma with Esophagotracheal Fistula
Imaging findings
CT chest shows a large, circumferential esophageal mass causing severe luminal narrowing and direct invasion/ulceration into the posterior membranous wall of the trachea, with a visible tract (esophagotracheal fistula) and severe aspiration pneumonia.
Key takeaways
Esophageal squamous cell carcinoma is highly invasive and can erode directly into the adjacent trachea, creating an esophagotracheal fistula. This leads to life-threatening aspiration of gastric/esophageal contents, necessitating immediate esophageal/tracheal stenting to partition the tracts.
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