case_images: PMC11786806_01
case_images: CT scan showing a fistulous tract extending towards the right-sided paravertebral collection containing both fluid and air (arrows). CT: computed tomography
case_images: cureus-0017-00000076799-i01.jpg
case_images: PMC11786806_01_cureus-0017-00000076799-i01.jpg
case_images: FIG1
case_images: Additionally, a focal disruption was observed, with a fistulous tract extending towards the right-sided paravertebral collection containing both fluid and air (Figure 1).
case_images: Upper endoscopy showing an ulcerated tumor occupying approximately two-thirds of the esophageal lumen (arrows)
case_images: cureus-0017-00000076799-i02.jpg
case_images: PMC11786806_01_cureus-0017-00000076799-i02.jpg
case_images: FIG2
case_images: Upon upper endoscopic examination, an ulcerated tumor was observed occupying approximately two-thirds of the esophageal lumen, which precluded further advancement of the endoscope (Figure 2).
case_images: Open gastrostomy through a supraumbilical midline incision
case_images: cureus-0017-00000076799-i03.jpg
case_images: PMC11786806_01_cureus-0017-00000076799-i03.jpg
case_images: FIG3
case_images: A supraumbilical midline incision was performed; the abdominal cavity was cautiously accessed, and a gastrostomy was made with a 22 F feeding tube (Figure 3).