# A rare case of esophageal perforation following a choking episode with complicated course: management and outcomes

## TL;DR

A 30-year-old man suffered a rare and severe case of esophageal perforation after choking on meat, requiring complex treatment and highlighting the need for prompt diagnosis and care.

## Contribution

This paper presents a rare clinical case of esophageal perforation with complicated management and successful recovery.

## Key findings

- The patient developed broncho-esophageal fistulae and stent migration following initial gastroscopy.
- Thoracotomy, debridement, and esophageal repair led to successful recovery and discharge.
- The case emphasizes the challenges in diagnosing and managing esophageal perforation.

## Abstract

Esophageal perforation (EP) is a rare yet lethal condition defined as a full-thickness disruption of the esophageal wall, associated with high morbidity and mortality. We describe a 30-year-old man who developed EP following a choking episode while eating meat. Despite initial management with gastroscopy, the patient experienced serious complications such as stents migration and development of broncho-esophageal fistulae. He underwent thoracotomy, debridement, and esophageal repair. He was also treated with esophageal stenting, chest physiotherapy and progressive oral intake. The patient eventually improved and was discharged in stable condition. This case underscores the importance of early diagnosis and proper management of EP, as well as the challenges involved in timely diagnosis and treatment.