PMC5832673_01
Endoscopic examination and Esophagography.. a, Endoscopic examination shows esophageal cancer with stenosis.. b, Esophagography (arrow) show esophageal cancer at the middle thoracic esophagus.
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Esophageal cancer at the middle thoracic esophagus was seen on endoscopic examination and esophagography (Fig. 1a, b).
Urgent computed tomography (CT) on the day of an esophagopulmonary fistula (EPF).. a, CT shows a lung abscess (arrow) in the lower lobe of the right lung that continues into adjacent esophageal cancer.. b, CT shows infiltrative shadows in the peripheral lung field and a pleural effusion.
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Though fever and respiratory symptoms were not observed, positron emission tomography (PET)-CT and urgent CT detected a lung abscess in the lower lobe of the right lung that continued into the adjacent esophageal cancer, infiltrative shadows in the peripheral lung field, and a pleural effusion (Fig. 2a, b).
Computed tomography (CT) at postoperative 3 weeks.. a, CT shows that the lung abscess have decreased compared to preoperative CT.. b, CT shows that infiltrative shadows have disappeared.
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Antibiotic drug therapy for pneumonia and lung abscess achieved a favorable outcome (Fig. 3a, b).