Curative endoscopic closure of a chronic esophagopleural fistula after Boerhaave syndrome using an over-the-scope clip: A case report

Figure 1 Contrast-enhanced computed tomography findings at the onset of spontaneous esophageal rupture. A: A large amount of fluid was collected in the left thoracic cavity with left-lung collapse and rightward mediastinal shift, and a nasogastric tube for decompression was in place; B: Continuity between the lower esophageal lumen and the left pleural cavity suggestive of esophageal perforation; the ruptured esophageal wall is indicated by an arrow. No mediastinal or subcutaneous emphysema was observed; C: Extensive fluid was collected in the left thoracic cavity, with compression of the left lung; D: Suspected fistulous communication between the lower esophagus and the left pleural cavity; the ruptured esophageal wall is indicated by an arrow. Fluid accumulation with an air–fluid level was present in the left thoracic cavity.