Esophageal perforation and its treatment

Case contributed by Ian Bickle


Meaty meal eaten at speed. Chest pain.

Patient Data

Age: 50 years
Gender: Male

Normal prevertebral soft tissue.

No gas in the soft tissues of the neck.

Endoscopy performed.

High-density material in the mid esophagus in keeping surgical staples.

Extensive pneumomediastinum and surgical emphysema in the neck.

Lungs clear.


Staples in the mid esophagus.

No contrast extravasation to suggest a leak.

Fluoroscopically guided nasogastric tube insertion


Staples in the mid esophagus.

An NG tube was positioned under fluoroscopic guidance. 

Case Discussion

A rather hurried meaty meal resulted in this esophageal perforation.

It was treated conservatively with endoscopically applied staples and nasogastric tube insertion to allow the tear to heal.

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