Abstract
The patient is a 68 year old male with biopsy proven esophageal adenocarcinoma as well as biopsy proven non-small cell lung cancer. After appropriate cancer staging, he underwent neoadjuvant chemoradiation and Ivor Lewis esophagogastrectomy, and was then discharged to home. He returned to the ER shortly thereafter, hemodynamically unstable, and with right sided lung collapse, in addition to a large empyema secondary to a near total dehiscence of his surgical anastomosis. EGD demonstrated this large defect, and showed wide open communication with the right pleural cavity.
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