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Article Details

Clinical Image

Volume 6, Issue 2 (February Issue)

Navigating the Abyss: An Intricate Portrait of Esophageal Fistula Unveiling Connection with Necrotic Mediastinum and Lung Parenchyma

Sahalia Rashid1* and Mohammed Awad2

1Internal Medicine Department, Detroit Medical Center and Wayne State University, Detroit, Michigan, United States
2Pulmonary and Critical Care, Detroit Medical Center and Wayne State University, Detroit, Michigan, United States

*Corresponding author: Sahalia Rashid, Internal Medicine Department, Detroit Medical Center and Wayne State University, Detroit, Michigan, United States.
E-mail: srashid@med.Wayne.edu

Received: January 18, 2024; Accepted: February 03, 2024; Published: February 15, 2024

Citation: Rashid S, Awad M. Navigating the Abyss: An Intricate Portrait of Esophageal Fistula Unveiling Connection with Necrotic Mediastinum and Lung Parenchyma. Clin Image Case Rep J. 2024; 6(2): 376.

Navigating the Abyss: An Intricate Portrait of Esophageal Fistula Unveiling Connection with Necrotic Mediastinum and Lung Parenchyma
Abstract

The patient is a 77-year-old African American gentleman with a past medical history of pretension, diabetes mellitus, right upper lobe squamous cell lung cancer s/p radiation, immunotherapy and chemotherapy, benign prostatic hyperplasia, coronary artery disease heart failure with reduced ejection fraction with pacemaker placement who was recently underwent an EGD for evaluation of early satiety, nausea, vomiting and weight loss. EGD demonstrated a necrotic lesion in the right upper lateral wall of the esophagus with concerns of a fistula with direct connection with the mediastinum and RUL lung parenchyma. CT (Computed Tomography) scan without contrast of the neck and thorax demonstrated an esophageal -mediastinal RUL fistula.