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case_images: A: Enhanced chest computed tomography showing soft tissue infiltration with air-fluid collection around upper esophagus. B: Gastrografin esophagography showing esophagomediastinal fistula in the upper esophagus.
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case_images: Contrast enhanced chest computed tomography (CT) revealed diffuse soft tissue infiltration with air-fluid collection around upper esophagus, which was compatible with acute mediastinitis and esophageal perforation (Fig. 1A). Gastrografin esophagography, performed after 4 weeks, revealed esophagomediastinal fistula in the upper esophagus (Fig. 1B).
case_images: A: An orifice of the fistula was selected using the diagnostic angiographic catheter. B: Embolization of the fistula was performed by injection of the NBCA via the angiographic catheter.
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case_images: Embolization of the fistula was performed by injection of the NBCA glue into the mediastinal soft tissue up to the orifice of the fistula via the diagnostic angiographic catheter (Fig. 2A & B).
case_images: Follow-up esophagography after 4 weeks showing resolution of the esophagomediastinal fistula.
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case_images: Esophagography after 4 weeks revealed resolution of the esophagomediastinal fistula (Fig. 3).