Fatal aortoesophageal fistula induced by esophageal stenting

Esophageal cancer, in advanced stages, may invade adjacent structures and lead to rare but fatal complications. A 57‑year‑old female patient was diagnosed with esophageal cancer two years ago, refused surgery, and subsequently underwent chemoradiotherapy. Due to progressive dysphagia, a self‑expandable metallic esophageal stent was placed two months prior. This case highlights the development of an aorto‑esophageal fistula following stent placement in esophageal cancer, a complication associated with extremely high mortality.