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Esophago-bronchial Fistula Complicating Esophageal Carcinoma Treatment

Esophago-bronchial Fistula Complicating Esophageal Carcinoma Treatment▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Initial CT showed a mediastinal mass and hilar lymphadenopathy centered around the esophagus, consistent with esophageal carcinoma. Follow-up CT after chemotherapy and radiation therapy revealed a communication extending from the esophagus into an accessory superior segmental bronchus. An esophagram nicely outlined the bronchial tree, confirming the esophago-bronchial fistula.

Key takeaways

An esophago-bronchial fistula is a recognized complication of chemotherapy and radiation therapy for esophageal carcinoma. It can lead to infection and is typically managed by placing an esophageal stent.

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