case_images: PMC10844918_01
case_images: PMC10844918_02
case_images: PMC10844918_03
case_images: Contrast study showing H-type fistula with spillage of contrast in lungs.
case_images: PJMS-40-S91-g001.jpg
case_images: PMC10844918_03_PJMS-40-S91-g001.jpg
case_images: F1
case_images: The procedure was abandoned immediately due to worsening respiratory distress with persistent desaturation and severe respiratory acidosis requiring intubation and mechanical ventilation. The serial X-rays confirmed bilateral chemical pneumonitis, Fig.1 shows contrast spillage into lungs while Fig.2, shows right sided tension pneumothorax, which was successfully drained.