Female pensioner with known oesophageal cancer. Oesophageal stent 1 month prior. Haematemasis. Cause?
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Oseophageal stent in situ.
Soft tissue occupying most of the esophageal lumen at the level of the carina.
Contrast extending from the descending aorta into the lumen of the esophagus at the level of the pulmonary trunk.
Soft tissue in the para-esophageal space in keeping with tumor extension.
Very exciting case - one of my best in the last 5 years.
Known to happen, but rare to experience. Thankfully.
On the arterial phase CT study the contrast extends across the aorta and through the stented esophagus at the site of the upper esophageal tumor.
An aorto-esophageal fistula.