gastroenterology; critical care; esophageal cancer; malignancy complications; fistula; esophageal neoplasms; esophageal neoplasms/complications; esophageal fistula


Digestive System Diseases | Medical Anatomy | Medical Pathology | Neoplasms | Nutritional and Metabolic Diseases | Respiratory Tract Diseases


Esophageal respiratory fistulas, commonly found as a tracheoesophageal fistula (TEF), are abnormal connections between the esophagus and trachea. These can be congenital (infants) or acquired (malignancy). A more rare form of an esophageal respiratory fistula is an abnormal connection between the esophagus and the lung parenchyma—also known as an esophagopulmonary fistula. In our case, we present a middle-aged male with a history of esophageal cancer undergoing chemotherapy and radiation presenting into the intensive care unit for increasing shortness of breath and vomiting after eating found to have a rare form of a TEF causing his symptoms.