PMC4701820_01
At day seven the esophagogastric anastomsis (arrow) was found intact as judged by oral contrast enema.
gr1.jpg
PMC4701820_01_gr1.jpg
fig0005
At day seven the esophagogastric anastomosis was intact as judged by oral contrast X-ray enema (Fig. 1).
A CT scan without contrast demonstrating the fistula between the gastric tube and the right intermediary bronchus (arrow), bilateral pleural effusion and lung consolidation.
gr2.jpg
PMC4701820_01_gr2.jpg
fig0010
Two days later a thoracic CT scan demonstrated bilateral pleural effusion, lung consolidation and a small but visible fistulous communication from the gastric tube to the rigth intermediary bronchus (Fig. 2).
A chest X-ray demonstrating stent in place (arrow) and resolution of lung changes.
gr3.jpg
PMC4701820_01_gr3.jpg
fig0015
His general condition improved with resolution of the pleural effusion and pneumonia (Fig. 3) and allowed extubation on day 29 postoperatively.