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1 Department of Gastroenterology, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
2 Department of Radiology, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
3 Department of Gastroenterology and Hepatology, Liverpool University Foundation Hospitals NHS Trust, Liverpool, UK sreedhar.subramanian@liverpoolft.nhs.uk.
1 Department of Gastroenterology, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
2 Department of Radiology, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
3 Department of Gastroenterology and Hepatology, Liverpool University Foundation Hospitals NHS Trust, Liverpool, UK sreedhar.subramanian@liverpoolft.nhs.uk.
Competing interests: DN, TEC and VC report no conflicts of interest. SS has received speaker fees from MSD, Actavis, Abbvie, Dr Falk pharmaceuticals, Shire and received educational grants from MSD, Abbvie, Actavis and is an advisory board member for Abbvie, Dr Falk pharmaceuticals and Vifor pharmaceuticals.
Figures
Figure 1
(A) (Coronal reformat CT image…
Figure 1
(A) (Coronal reformat CT image with oral contrast in narrow windows) and (B)…
Figure 1
(A) (Coronal reformat CT image with oral contrast in narrow windows) and (B) (axial CT image with oral contrast in mediastinal soft tissue windows)—images depict an obvious defect in the oesophagus with arrows marking the fistula site, along with right upper lobe volume loss and apical cystic cavitary changes contiguous with the para-oesophageal cavity. (C) An endoscopic view depicting the near complete obliteration of the oesophageal lumen and a large adjacent necrotic cavity. (D) An endoscopic view depicting a Jagwire traversing the defect and intubating the distal oesophageal lumen.
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