Oesophageal stent-associated esophagorespiratory fistula.

To cite: Madan K, Venuthurimilli A, Mohan A, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015211880 DESCRIPTION A 79-year-old man underwent oesophageal selfexpanding metal stent (SEMS) insertion for palliation of advanced squamous cell carcinoma of the mid-oesophagus. Nine months later, a second oesophageal SEMS placement (stent in stent) was performed due to tumour obstruction of the first SEMS. After 8 months following a stable course, the patient developed intractable coughing and copious expectoration following meals. Barium swallow examination demonstrated spill over of the oesophageal contrast into the trachea, indicative of tracheo-oesophageal communication (figure 1A, B), and CT demonstrated the upper end of the oesophageal stent communicating with the trachea (figure 1C). Flexible bronchoscopy examination demonstrated complete prolapse of the upper