PMC5043393_01
(a) Baroncho-esophageal fistula between the middle section of the esophagus and the apical segment bronchus of the lower right lobe demonstrated at X-ray with water-soluble contrast medium. (b) CT scan 3D rendering confirmed the diagnosis of broncho-esophageal fistula.
gr1.jpg
PMC5043393_01_gr1.jpg
fig0005
Water-soluble contrast radiography of the esophagus showed a broncho-esophageal fistula between the apical segmental bronchus of the lower right lobe and the middle section of the esophagus (Fig. 1a). Bronchoscopy showed a fistula opening that was 4 mm in diameter and approximately 2.5 cm distal to the main carina subsequently confirmed by CT scan 3D rendering (Fig. 1b).
X-ray of the upper digestive tract with water-soluble contrast performed the day after the operation showed no fistula tract.
gr2.jpg
PMC5043393_01_gr2.jpg
fig0010
At the same time, a new esophagography was performed to show any esophageal leakage (Fig. 2).