PMC4929382_01
Thoraco-abdominal CT (September 2012). Fluid collection with gas at the level of the gastro-oesophageal junction, corresponding to the abscess (arrow).
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F1
Thoraco-abdominal computed tomography (CT) revealed a para-oesophageal abscess with a maximal extension of 6 cm adjacent to the oesophago-gastric junction and a fistula into the distal part of the oesophagus (fig. 1).
a, b Upper endoscopy (March 2015). Disseminated ulcerations in the lower oesophagus.
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F2
Upper endoscopy showed disseminated small ulcerations in the oesophagus (fig. 2), whereas the mucosa of the stomach and duodenum appeared normal.
Endoscopic ultrasound (March 2015). Para-oesophageal abscess (32 x 23 mm) with gas (arrow).
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F3
The fluid collection was punctured by EUS and pus could be evacuated (fig. 3).