case_images: PMC10771064_01
case_images: Comparison of upper gastrointestinal imaging results. (a) The patient underwent upper gastrointestinal imaging, which indicated the presence of postoperative esophageal cancer. Contrast leakage was observed at the anastomotic site. The contrast extended into the bronchus without significant obstruction to its passage through the anastomosis. Therefore, the possibility of an esophagotracheal fistula was considered and (b) In the postoperative review of esophageal cancer, oral iodine passed smoothly through the residual esophagus and anastomosis. Slight narrowing of the anastomosis was seen, with no leakage of contrast medium and no obvious signs of destruction.
case_images: 10.1177_03000605231220874-fig1.jpg
case_images: PMC10771064_01_10.1177_03000605231220874-fig1.jpg
case_images: fig1-03000605231220874
case_images: The passage of contrast through the anastomosis was not significantly obstructed, leading to the diagnosis of an ETF (Figure 1(a)).
case_images: Comparison of gastroscopic findings. (a) The patient was admitted to the hospital because of esophageal stenosis and the presence of an esophagotracheal fistula. (b) The stenotic segment was dilated using a balloon, and 6 mL of platelet-rich plasma was injected around the fistula using an injection needle. (c) One month after the operation, significant improvement was observed in the fistula. Subsequently, 10 mL of platelet-rich plasma was reinjected at multiple points around the fistula using a needle and (d) Gastroscopy was conducted 3 months postoperatively, revealing no discernible fistula.
case_images: 10.1177_03000605231220874-fig2.jpg
case_images: PMC10771064_01_10.1177_03000605231220874-fig2.jpg
case_images: fig2-03000605231220874
case_images: Subsequent gastrointestinal endoscopic examination and treatment was recommended (Figure 2(a)). A coated metal stent of 8 cm in length and 1.8 cm in diameter was then inserted, helping the surgical procedure to be smoothly executed (Figure 2(b)). The fistula was found to have significantly improved, and 10 mL of PRP was injected again at multiple points around the fistula (Figure 2(c)). Gastroscopy showed that the fistula had healed (Figure 2(d)).