case_images: PMC5051476_01
case_images: Preoperative X-ray exam - lung opacity at upper right lobe
case_images: JMedLife-02-104-g001.jpg
case_images: PMC5051476_01_JMedLife-02-104-g001.jpg
case_images: F1
case_images: The chest X-ray and thoracic CT scans showed pulmonary suppurations located at upper right lobe (Fig. 1, Fig. 2).
case_images: Bronchoscopy - bronchial fistula
case_images: JMedLife-02-104-g003.jpg
case_images: PMC5051476_01_JMedLife-02-104-g003.jpg
case_images: F3
case_images: Intraoperative aspects: A - upper right lobbectomy;
  B - dissection of esophagus and exposure of fistula; 
  C - esophageal myotomy
case_images: JMedLife-02-104-g004.jpg
case_images: PMC5051476_01_JMedLife-02-104-g004.jpg
case_images: F4
case_images: We performed right upper lobectomy with subcarynary lymphadenectomy and resection of eso-bronchial fistula, suture of esophagus (double layer) with extramucosal esophageal myotomy (Fig. 4).
case_images: Postoperative chest X-ray - complete reexpansion of the right lung
case_images: JMedLife-02-104-g005.jpg
case_images: PMC5051476_01_JMedLife-02-104-g005.jpg
case_images: F5
case_images: PMC5051476_02
case_images: Preoperative esophagography - round esophageal opacity
case_images: JMedLife-02-104-g006.jpg
case_images: PMC5051476_02_JMedLife-02-104-g006.jpg
case_images: F6
case_images: Preoperative esophagography with lipiodol - round opacity located at esophagus and left eso-bronchial fistula (Fig. 6; Fig. 7).
case_images: Thoracic CT scan: A - left lower lobe pneumonia; B - left eso-bronchial fistula
case_images: JMedLife-02-104-g008.jpg
case_images: PMC5051476_02_JMedLife-02-104-g008.jpg
case_images: F8
case_images: Postoperative chest X-ray: right lung ARDS
case_images: JMedLife-02-104-g009.jpg
case_images: PMC5051476_02_JMedLife-02-104-g009.jpg
case_images: F9
case_images: ARDS (Fig. 9), with mechanical ventilation for 4 days. After that, favorable outcome appeared; the bronchoscopy performed at 2 months after surgery revealed left main bronchus stenosis and pulmonary atelectasis (Fig. 10).
case_images: Postoperative bronchoscopy at 2 months after 
  surgery - intermittent stenosis of left main bronchus
case_images: JMedLife-02-104-g0010.jpg
case_images: PMC5051476_02_JMedLife-02-104-g0010.jpg
case_images: F10
case_images: ARDS (Fig. 9), with mechanical ventilation for 4 days. After that, favorable outcome appeared; the bronchoscopy performed at 2 months after surgery revealed left main bronchus stenosis and pulmonary atelectasis (Fig. 10).
case_images: Esophageal barium passage - normal
case_images: JMedLife-02-104-g0011.jpg
case_images: PMC5051476_02_JMedLife-02-104-g0011.jpg
case_images: F11
case_images: Chest X ray
  after re-thoracotomy
case_images: JMedLife-02-104-g0012.jpg
case_images: PMC5051476_02_JMedLife-02-104-g0012.jpg
case_images: F12
case_images: The postoperative outcomes were favorable, with normal X-ray exams, CT scans and bronchoscopy (Fig. 12, Fig. 13, Fig. 14).
case_images: Bronchoscopy after re-thoracotomy - normal aspects
case_images: JMedLife-02-104-g0014.jpg
case_images: PMC5051476_02_JMedLife-02-104-g0014.jpg
case_images: F14
case_images: The postoperative outcomes were favorable, with normal X-ray exams, CT scans and bronchoscopy (Fig. 12, Fig. 13, Fig. 14).
case_images: PMC5051476_03
case_images: Preoperative CT scan - revealed the eso-tracheal fistula
case_images: JMedLife-02-104-g0015.jpg
case_images: PMC5051476_03_JMedLife-02-104-g0015.jpg
case_images: F15
case_images: Thoracic scans (Fig. 15), bronchoscopic and esophagoscopic exams showed a tracheo-esophageal fistula at cervical trachea, at the level of previous tracheostomy.