PMC4309356_01
Coronal and sagital computed tomography images of the neck on day 3. An abscess was
observed on the right parapharingeal space and left hypopharynx. It is supposed that
the abscess descended across from right to left at the laryngeal level (Fig. 1a). The pharyngeal abscess descended to
the breastbone level via the left side of the esophagus. The longer axis extended to
over 10 centimeters (Fig. 2b).
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Computed tomography performed on day 3 revealed an abscess extending from the right parapharyngeal space to the thoracic level of the left esophagus; the lesion progressed from the right to left side at the laryngeal level (Figure 1a). The vertical length of the lesion was more than 10 cm (Figure 1b).
Esophageal findings on day 9. There were two major fistulas on the left side of the
esophagus, 15 and 20 centimeters, respectively, from an incisor (figure corresponding
to the upper sides of the fistulas).
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A gastrointestinal endoscopic examination performed on day 9 revealed two large esophageal fistulas, respectively, located between the esophageal orifice and broncho-aortic constriction (Figure 2).
Gastric findings on day 9. Three ulcers located on posterior wall of body and
anterior and posterior walls of the greater curvature of the stomach showed no
petechial hemorrhage and no erosion circumferentially.
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Also detected were three ulcers, respectively, situated on the posterior wall of the body and the anterior and posterior walls of the greater curvature of the stomach (Figure 3).
Pathology of the gastric mucosa on day 28. There were no malignant cells in the
gastric mucosa and the gastric ulcers were diagnosed as being at the H2 stage.
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Moreover, pathological examination revealed no malignant cells in either the esophagus or stomach (Figure 4).