A polyurethane-covered Wallstent was used for a esophagus cancer patient with malignant esophageal stenosis associated with esophagobronchial fistula. Stent placement was successfully performed with no procedure related-complications. Following the procedure the patient could eat a normal diet. The insertion of a polyurethane-covered Wallstent is a safe and effective treatment for malignant esophageal stenosis with esophagobronchial fistula.