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Figure 1: Preoperative chest radiographs (anteroposterior and lateral views; left upper) showing red rubber catheter in the esophagus arrested at the T8 vertebral level (red arrow) with the presence of gas in the abdomen; esophagogram without catheter in situ (left lower) showing dilated, upper pouch (red arrow) at higher level; operative pictures (right lower) showing dilated, long, colon-like upper pouch (white arrow) overlapping with distal fistula (blue arrow) and fibromuscular strands (yellow arrow) between the two (black arrow-overlying pleura); diagrammatic representation (right upper) of Kluth Type IIIb6 variant with fibromuscular strands between both pouches

Figure 1: Preoperative chest radiographs (anteroposterior and lateral views; left upper) showing red rubber catheter in the esophagus arrested at the T8 vertebral level (red arrow) with the presence of gas in the abdomen; esophagogram without catheter <i>in situ</i> (left lower) showing dilated, upper pouch (red arrow) at higher level; operative pictures (right lower) showing dilated, long, colon-like upper pouch (white arrow) overlapping with distal fistula (blue arrow) and fibromuscular strands (yellow arrow) between the two (black arrow-overlying pleura); diagrammatic representation (right upper) of Kluth Type IIIb<sub>6</sub> variant with fibromuscular strands between both pouches