PMC9167476_01
esophageal ulcer with a fistula opening (green arrow)
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PMC9167476_01_PAMJ-41-225-g001.jpg
F1
Esophagogastroduodenoscopy (EGD) showed a large ulcer measuring 3 cm in diameter in the middle third of the esophagus with a fistula opening in the center of the ulcer (Figure 1).
CT-scan findings: esophago-mediastinal fistula, mediastinal adenopathies and military tuberculosis
PAMJ-41-225-g002.jpg
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F2
We completed with computed tomography (CT) scan of the chest which revealed a fistula of the middle third of the esophagus without signs of mediastinitis, multiple mediastinal necrotic adenopathies and diffuse pulmonary micronodules suggesting miliary tuberculosis (Figure 2).