Abstract
We report a case of endoscopic and open surgical treatment for iatrogenic perforation in the hypopharynx, a rare but potentially fatal complication of esophagogastroduodenoscopy. The patient was a 55-year-old female who exhibited strong resistance during passing through hypopharynx, leading to the suspicion of perforation, which was confirmed by CT scan and esophagography. Conservative management was attempted with antibiotics and prohibition of oral intake for 2 months, but she experienced worsening discomfort in the neck and was eventually readmitted for surgical treatment. The patient was treated with endoscopic mucosal repair and open surgery with regional flap. With the hypopharynx perforation healed, the patient was able to resume regular diet after a week and was discharged. Hypopharyngeal perforation that did not improve with long-term conservative treatment can be successfully treated through open surgery using a flap.
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