Esophagobronchial fistula is a rare complication of long-standing achalasia cardia. We report the case of a 39-year-old lady with sigmoid esophagus with a esophagobronchial fistula who was managed by minimally invasive esophagectomy with gastric conduit and cervical esophago-gastric anastomosis. The esophagobronchial fistula was identified at the lower end of the dilated thoracic esophagus. The fistulous opening was primarily sutured with a cuff of esophageal wall after cauterizing the mucosa of the esophageal wall using bipolar energy source. Postoperatively, the air leak resolved spontaneously. There was no evidence of any malignancy in the resected specimen. The patient is doing well on follow-up.
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