Abstract
Sixty-eight year old man, came to our hospital with complaint of a swallowing disturbance and foreign body or compression sensation within his chest. The symptoms had been present for 8 monthes prior to his first visit to our clinic. An approximately 8cm defect was identified radiographically near the second narrowed part of the esophagus. During esophagography, a bronchogram was inadvertenly performed. A bronchography, however, the fistula could not be identified. About 30cm distal to maxillary incisors, multiple tumors were observed protruding from the internal surface of the esophagus using the fiberoptic esophagoscope. There was a grey white debris with slight spontaneous bleeding of the surface of several polyps. Histopathologic diagnosis by biopsy at that time was the epidermoid cell carcinoma.Using the fiberoptic bronchoscopy, slight stenosis of the trachea and the left main stembronchus was observed near the carina, secondary to compression by the paratracheal and parabronchial lymphonodes. Slight hypermia also present at this site. Near theorifices of the left upper bronchi, there was a moderate amount of localized foarmy
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