case_images: PMC10961334_01
case_images: Chest computed tomography shows a left pleural effusion (red arrow).
case_images: fmed-11-1303305-g001.jpg
case_images: PMC10961334_01_fmed-11-1303305-g001.jpg
case_images: fig1
case_images: A thoracic computed tomography (CT) scan revealed the presence of an esophageal-mediastinum fistula and pleural effusion on the left side (Figure 1).
case_images: (A) A longitudinal laceration located in the esophagus was seen under gastroscopy. (B) Clamping the esophageal chasm with 6 titanium clips. (C) A well-closed, scar-like hyperplasia at the site of the primary rupture of the lower esophagus.
case_images: fmed-11-1303305-g002.jpg
case_images: PMC10961334_01_fmed-11-1303305-g002.jpg
case_images: fig2
case_images: The patient underwent gastroscopy at around 10:30 am, during the procedure, a longitudinal laceration (length approximately 50 mm) was observed in the esophagus, specifically located from 35 cm from the incisors to the cardia on the lesser curvature side, which was suspected to be the site of perforation (Figure 2A). Closure of the defect was accomplished using a total of 6 titanium clips (Figure 2B). Following continuous left chest drainage, administration of anti-infection measures, and nutritional support, a re-examination of the gastroscope conducted 20 days after hospitalization revealed a well-closed, scar-like hyperplasia at the site of the initial rupture in the lower esophagus (Figure 2C).
case_images: Time line of events.
case_images: fmed-11-1303305-g003.jpg
case_images: PMC10961334_01_fmed-11-1303305-g003.jpg
case_images: fig3
case_images: Time line of events from start of prep to diagnosis and intervention as show as Figure 3.
case_images: Recheck chest CT was showed pleural effusion disappeared 21 days after the operation.
case_images: fmed-11-1303305-g004.jpg
case_images: PMC10961334_01_fmed-11-1303305-g004.jpg
case_images: fig4
case_images: Repeat thoracic CT showed resolution of pleural effusion (Figure 4).