DOI: 10.36347/sasjm.2023.v09i04.022

Pages: 335-339

Introduction: Esophageal fistula is a rare and serious complication of esophageal cancer. Observation: We report the case of a 33-year-old female patient. The reason for consultation was epigastralgia, post prandial vomiting, purulent bronchial syndrome and fluid dysphagia. Clinical examination revealed a right basal fluid effusion syndrome and limited mouth opening. Thoracic imaging showed a right pulmonary abscess complicating a bronchoesophageal fistula. The digestive fibroscopy showed a necrotizing circumferential budding tumor of the lower third of the esophagus with an orifice on the right side of the esophagus communicating the esophagus and the right basal pyramid. The patient benefited from a feeding gastrostomy. The evolution was marked by the death of the patient three months after her treatment by a cardiorespiratory arrest. Conclusion: Esophageal fistula is a complication of the pre-terminal stage of esophageal cancer. The diagnosis is made by endoscopy and imaging. The treatment remains palliative at this stage.