Esophageal carcinoma presenting with pyopneumothorax: a case study.

We describe a 69-year-old male who presented with high fever, progressive right chest pain and shortness of breath. A chest radiograph showed a right massive hydropneumothorax. After diagnostic assessment, an esophagomediastinal fistula complicated by squamous cell carcinoma of the esophagus was subsequently confirmed. Clinical signs were significantly improved by chest tube insertion, antibiotic therapy and esophageal stent implantation.