case_images: PMC3959467_01
case_images: Esophageal rupture documented by cervical CT scan
case_images: AnnGastroenterol-24-55-g001.jpg
case_images: PMC3959467_01_AnnGastroenterol-24-55-g001.jpg
case_images: F1
case_images: 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].
case_images: PMC3959467_02
case_images: The rupture site via flexible EGD, b. First endoscopic intervention, with the use of endoclips
case_images: AnnGastroenterol-24-55-g002.jpg
case_images: PMC3959467_02_AnnGastroenterol-24-55-g002.jpg
case_images: F2
case_images: 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].
case_images: Esophagogram with gastrographin meal at day 5 revealed leakage from the upper esophagus
case_images: AnnGastroenterol-24-55-g003.jpg
case_images: PMC3959467_02_AnnGastroenterol-24-55-g003.jpg
case_images: F3
case_images: A fluoroscopy with gastrographin meal at day 5 showed leakage from the upper esophagus (TH1 vertebra) to the mediastinum [Fig. 3].
case_images: Second endoscopic intervention, once again with endoclips
case_images: AnnGastroenterol-24-55-g004.jpg
case_images: PMC3959467_02_AnnGastroenterol-24-55-g004.jpg
case_images: F4
case_images: Another attempt at endoscopic stitching was made with the use of three endoclips without previous ablation of the margins of the stoma [Fig. 4].
case_images: Esophagogram at day 12 confirmed the successful result
case_images: AnnGastroenterol-24-55-g005.jpg
case_images: PMC3959467_02_AnnGastroenterol-24-55-g005.jpg
case_images: F5