This is a case of an esophageal perforation. The perforation was likely secondary to both mucosal erosion from the esophageal stent and the esophageal malignancy itself. The patient was urgently taken to the operating room for a video-assisted thoracoscopic surgery (VATS) washout. The patient would later have an esophagectomy with gastric pull-through.

Co-authors:
Camille Dumas, DO
Christine Cooley, MD