case_images: PMC10781516_01
case_images: Fluoroscopy using iodine contrast (Iohexol). The lateral view did not reveal a fistula. Rolling the patient toward the abdomen revealed a proximal tracheoesophageal fistula at the anastomotic level (pointed out by the arrow in the figure).
case_images: 10-1055-a-2227-6389-i2023050712cr-1.jpg
case_images: PMC10781516_01_10-1055-a-2227-6389-i2023050712cr-1.jpg
case_images: FI2023050712cr-1
case_images: A repetitive esophagogram was undertaken for more clarification and showed an evident tracheoesophageal connection proximal to the anastomosis (thoracic inlet level), suggesting a missed proximal fistula (see Fig. 1 ).
case_images: Preoperative bronchoscopy prior to the second surgical procedure showed only a small dimple in the proximal trachea (pointed out by the arrow), without a clear lumen of a fistula.
case_images: 10-1055-a-2227-6389-i2023050712cr-2.jpg
case_images: PMC10781516_01_10-1055-a-2227-6389-i2023050712cr-2.jpg
case_images: FI2023050712cr-2
case_images: Preoperative flexible and rigid bronchoscopies showed only a small dimple in the proximal trachea 2 cm caudal to the cricoid, without a clear lumen of a fistula (see Fig. 2 ).