case_images: PMC5989256_01
case_images: Esophagography with gastrograffin swallow showing contrast leakage through an esophageal fistula
case_images: PAMJ-28-274-g001.jpg
case_images: PMC5989256_01_PAMJ-28-274-g001.jpg
case_images: f0001
case_images: Gastrograffin swallow x-ray demonstrated signs of a pharyngo-esophageal rent as leakage of the contrast mean into the upper mediastinum (Figure 1).
case_images: Intraoperative photograph showing an esophageal wall defect and a nasogastric tube (white arrow)
case_images: PAMJ-28-274-g002.jpg
case_images: PMC5989256_01_PAMJ-28-274-g002.jpg
case_images: f0002
case_images: By a left lateral cervical approach, the fistula tract ahead of the neurovascular pedicle was followed deeply to the left lateral pharyngo-esophageal rent (Figure 2).
case_images: Intraoperative photographs: the esophageal fistula was closed using 3-0 Vicryl (wight arrow), then a pediculed SCM muscular flap (wight star) was elevated, medially rotated and interposed between the esophagus and the cervical column to protect the viscus repair (black star)
case_images: PAMJ-28-274-g003.jpg
case_images: PMC5989256_01_PAMJ-28-274-g003.jpg
case_images: f0003
case_images: A superiorly based SCM muscular flap was then elevated, medially rotated and interposed between the esophagus and the cervical column to protect the viscus repair (Figure 3).