PMC3959467_01
Esophageal rupture documented by cervical CT scan
AnnGastroenterol-24-55-g001.jpg
PMC3959467_01_AnnGastroenterol-24-55-g001.jpg
F1
A cervical-thoracic CT scan was immediately performed which documented free air at the cervical region as well as in the upper mediastinum [Fig. 1].
PMC3959467_02
The rupture site via flexible EGD, b. First endoscopic intervention, with the use of endoclips
AnnGastroenterol-24-55-g002.jpg
PMC3959467_02_AnnGastroenterol-24-55-g002.jpg
F2
The EGD revealed rupture of the esophag eal posterior wall right below the UES, an area corresponding to the anatomical site of Lannier's triangle [Fig. 2].
Esophagogram with gastrographin meal at day 5 revealed leakage from the upper esophagus
AnnGastroenterol-24-55-g003.jpg
PMC3959467_02_AnnGastroenterol-24-55-g003.jpg
F3
A fluoroscopy with gastrographin meal at day 5 showed leakage from the upper esophagus (TH1 vertebra) to the mediastinum [Fig. 3].
Second endoscopic intervention, once again with endoclips
AnnGastroenterol-24-55-g004.jpg
PMC3959467_02_AnnGastroenterol-24-55-g004.jpg
F4
Another attempt at endoscopic stitching was made with the use of three endoclips without previous ablation of the margins of the stoma [Fig. 4].
Esophagogram at day 12 confirmed the successful result
AnnGastroenterol-24-55-g005.jpg
PMC3959467_02_AnnGastroenterol-24-55-g005.jpg
F5