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

Figure 5 Follow-up imaging after over-the-scope clip placement. A: Water-soluble contrast esophagography performed 14 days after over-the-scope clip (OTSC) placement showed no leakage into the thoracic cavity; B: Water-soluble contrast esophagography performed 27 days after OTSC placement showed no leakage despite spontaneous OTSC dislodgement; the previously existing fistula site, now closed, is indicated by an arrow; C: Follow-up endoscopic view confirming clip dislodgement and progressive mucosal healing at the previous fistula site without recurrence; D: Chest radiograph showing improved radiolucency in the left lower-lung field, corresponding to the resolution of empyema.