Esophago-pulmonary fistula in a patient with squamous cell carcinoma of the esophagus

Acquired eso-respiratory fistulae are usually consecutive to art eso-trache al or art eso-bronchial fistula. Esophago-pulmonary fistulae have been rare ly described. We report a case esophago-pulmonary fistula in a patient with esophageal carcinoma. Our patient presented progressive necrotizing pneumo nia. CT scan of the thorax demonstrated necrosis of the esophagal wall and communication between the esophagus and the lung parenchyma. Furthermore, t he biochemical analysis of the lung abcess fluid revealed a high level of a mylase. Outcome was pool despite drainage of the lung abcess and insertion of art esophageal stent. Based on this case, we reviewed the cases of esoph ago-pulmonary fistulae described in the literature.