PMC4435364_01
Forward view of the (A) distal esophageal lumen (solid arrow) and esophagogastric fistula (dashed arrow) and (B) distal esophagus showing native esophageal lumen (solid arrow) as well as 2 additional esophagogastric fistulas (dashed arrows).
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PMC4435364_01_crj-02-068-g001.jpg
F1
Esophagogastroduodenoscopy (EGD) revealed intact Nissen fundoplication and fistulous tracts connecting the esophagus and the stomach (Figure 1), which was confirmed on retroflexed view of the gastric cardia (Figure 2).
Retroflexed view of the cardia showing an intact Nissen fundoplication and esophagogastric fistula (dashed arrow).
crj-02-068-g002.jpg
PMC4435364_01_crj-02-068-g002.jpg
F2
Esophagogastroduodenoscopy (EGD) revealed intact Nissen fundoplication and fistulous tracts connecting the esophagus and the stomach (Figure 1), which was confirmed on retroflexed view of the gastric cardia (Figure 2).
Barium esophagogram showing abnormal distal esophageal anatomy with 2 tracts: esophagogastric fistula (dashed arrow) and another tract showing normal flow from the esophagus into stomach (solid arrow).
crj-02-068-g003.jpg
PMC4435364_01_crj-02-068-g003.jpg
F3
A barium esophagogram revealed 2 esophagogastric fistulas, moderate reflux into the esophagus, and mild presbyesophagus (Figure 3).