Esophageal-pleural fistula

An esophageal-pleural fistula refers to an abnormal connection between the esophagus and pleura.


They can arise from a number of underlying pathologies which can result in an esophageal rupture :

  • post surgical
  • endoscopic procedures
    • post esophageal dilatation
  • secondary to a tumor, e.g. esophageal carcinoma
  • esophageal tuberculosis 
  • from chemical injury following ingestion of corrosive substances
  • from irradiation

Radiographic features


Thoracic CT with esophageal (oral) contrast may show a direct communication with the pleural space. Air in the pleural space +/- hydropneumothorax in correct clinical setting may also be useful in the diagnosis.

Siehe auch: