Here is a case of esophageal perforation with an esophageal pleural fistula post-endoscopy. Instrumentation and thoracic surgery are the most common causes of esophageal perforation.

In this case, fluoroscopy was not available, so we used CT esophagography instead, with very good diagnostic results.

CT esophagography is a CT study designed to primarily evaluate the esophagus, particularly in situations of esophageal trauma and potential perforation. It has been developed partly as an alternative to fluoroscopic barium swallow evaluation in this situation.

As the patient's general condition was bad, he was unable to drink the oral contrast, so a nasogastric tube was placed with an injection of the diluted water-soluble oral contrast through.