Abstract
A 54-year-old woman was admitted in an acute life-threatening condition with right pleural empyema in Boerhaave syndrome during chemotherapy. After right pleural surgical toilette, a Micro-Tech fistula occluding stent (A 30, B24-mm, Micro-Tech, Nanjing, China) was placed and fixed with Apollo overstitch during gastroscopy to occlude the perforation of the distal part of the esophagus. After resolution of the sepsis, the patient was discharged with normal oral intake. Two months later, stent removal was attempted, but the patient’s clinical condition dramatically worsened, and a gastrografin esophagogram showed persistence of a 2-cm esophagopleural fistula (A).
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