PMC5206845_01
Computed tomography image after perforation
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F1
It started from the supraclavicular area level and extended towards the para-aortic and peri-hepatic area in the inferior, and it was in the neighbourhood of the oesophagus trace in the mediastinum; a bilateral pleural effusion reaching 3 cm was also observed [Figure 1].
Perforation area determined during laparoscopy
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F2
An inflamed perforation area of approximately 3-4 cm in size with solid food waste was observed in the distal oesophagus, which is in the upper part of the gastro-oesophageal combination on the left side [Figure 2].
Closure of the perforated area with a coated oesophageal stent
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F3
A simultaneous upper gastrointestinal endoscopy was performed on the patient, and a silicon coated self-expandable stent (Hanaro Stent, MI Tech, Seoul, South Korea) was installed to cover the perforation area [Figure 3].
Image of the removed oesophageal stent
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F4
At the end of the post-operative period of 8 weeks, the stent was removed [Figure 4].