PMC2267468_01
Axial contrast enhanced CT image showed a mediastinal tumor with mediastinal air and a perforation of the tracheal wall (arrow).
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F1
The fistula itself could not be seen endoscopically, but was found by gastrographin swallow and CT-scan (Figure 1, Figure 2).
Gastrographin contrast swallow showed that oral contrast medium has entered the left sided tracheobronchial system (arrow).
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F2
The fistula itself could not be seen endoscopically, but was found by gastrographin swallow and CT-scan (Figure 1, Figure 2).
Retrograde endoscopic access to the esophageal lumen was obtained by open surgery and a duodenotomy.
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F3
Retrograde access to the esophageal lumen was obtained by open surgery and a duodenotomy (Figure 3).
Nitinol self expanding stent placed within the esophageal cavity (arrow).
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F4
Tech/MTW), was placed across the fistula under radiological and endoscopic control (Figure 4).