A bleeding esophagopulmonary fistula: rare complication of stasis ulcer in refractory achalasia.

Achalasia refractory to Heller cardiomyotomy is a rare problem. Complications arising from long-standing achalasia include perforation because of stasis ulcers and malignancy. Here, we report a case of refractory achalasia presenting with recurrent hematemesis because of a perforated stasis ulcer leading to a bleeding esophagopulmonary fistula.