case_images: PMC11098600_01
case_images: Brain magnetic resonance imaging demonstrating ring-enhancing lesions throughout the brain parenchyma and cerebellum consistent with abscesses on admission.
case_images: CRIPE2024-5593403.001.jpg
case_images: PMC11098600_01_CRIPE2024-5593403.001.jpg
case_images: fig1
case_images: The MRI revealed ring-enhancing lesions throughout the brain parenchyma and cerebellum which were consistent with abscesses (Figure 1).
case_images: Chest computed tomography revealing a mediastinal abscess.
case_images: CRIPE2024-5593403.002.jpg
case_images: PMC11098600_01_CRIPE2024-5593403.002.jpg
case_images: fig2
case_images: A chest CT (Figure 2) showed a mediastinal abscess associated with a possible EP, which was subsequently confirmed by an esophagram.
case_images: Esophagram showing contrast leakage due to esophageal perforation on the initial presentation. Arrows indicate the fistulous tract location, and the blue circle shows the mediastinal abscess area.
case_images: CRIPE2024-5593403.003.jpg
case_images: PMC11098600_01_CRIPE2024-5593403.003.jpg
case_images: fig3
case_images: The esophagram revealed leakage of contrast through a 1.3 mm tract (Figure 3).
case_images: Endoclip placed above the fistulous tract to create a hood via esophagoscopy and protect the abscess cavity from further contamination with feeding, on week 6 of hospitalization.
case_images: CRIPE2024-5593403.004.jpg
case_images: PMC11098600_01_CRIPE2024-5593403.004.jpg
case_images: fig4
case_images: Due to persistent fistula on esophagram, an endoscopy was performed to place endoclips above the fistulous tract to create a mucosal hood to protect the abscess cavity from further contamination with oral feeding (Figure 4).