Esophagotracheal fistula from a pharyngoesophageal diverticulum

Pharyngo-esophageal (Zenker's) diverticula are rarely associated with tracheal fistulas; however, the diagnosis should be suspected in the diverticulum patient who presents with spasms of coughing while eating since, if found, it changes the surgical management. The roentgenographic findings, diagnostic modalities, and surgical management of such a patient are herein presented.