Secondary aortoesophageal fistula initially presented with empyema after thoracic aortic stent grafting: A case report

Figure 2 Esophageal endoscopic images of the patient. A and B: First esophageal endoscopy showed a large deep longitudinal ulceration (2 cm × 1 cm) with an adherent clot (blue arrows) and white coating 25-27 cm below the incisors, corresponding to a fistula (pink lines showed the margin of the ulcer). No bleeding was found; C: Second bedside emergency endoscopy also showed blood clots (blue arrows); D: Second bedside emergency endoscopy showed massive bleeding as well.