Fig. 5
From: Esophageal emergencies: another important cause of acute chest pain
Esophageal fistulas. a Esophago-pleural fistula in a 61-year-old male with squamous cell carcinoma of mid esophagus, status post esophagectomy and gastric pull through presenting with fever. Axial CT image obtained 12 days after surgery shows a fistula (arrowheads) between the gastric tube and the right pleural space. Fluid collection with pleural enhancement and thickening (arrow) is suspicious for empyema. Reprinted with permission from Kim et al. Radiographics 2007; 27(2):409-429. b Aorto-esophageal fistula in a 70-year-old male patient with hypertension and regular alcohol use presenting with hematemesis and melena. Axial image of CT chest angiography shows type B aortic dissection with rupture, communication, and extravasation between aorta and esophagus (blue arrow) in the arterial phase. Reprinted from Kokatnur. Indian J Crit Care Med. 2015;19(2):119–121