A 52-year-old patient was referred for esophageal perforation after vomiting initially
treated with surgery without success and thoracic drainage. Esophagogastroscopy showed
a 5-cm long rupture in the lower esophageal wall, resulting in a 5 × 5 cm purulent
cavity. Under endoscopic and fluoroscopic guidance, 9 sessions of Esosponge placement
(11 sponges) were performed, firstly applied inside the collection and finally inside
the esophageal lumen due to reduction of the perforation’s caliber. During 2 sessions
double sponges were inserted simultaneously into the cavity. Final esophagogastroscopy
and barium contrast radiography showed a small residual pseudodiverticulum. The patient
returned to oral nutrition and fully recovered.
