2024 Volume 66 Issue 6 Pages 1318-1324
A 97-year-old woman experienced recurrent episodes of cholelithic cholecystitis and cholangitis resulting from a stone in the common bile duct. She was hospitalized as a result of choledocholithiasis in the common bile duct. The right wall of the esophagus in the middle thoracic region was perforated during insertion of the endoscope for ERCP. We decided to close the perforation endoscopically, considering the infeasibility of a surgery owing to the patientʼs multiple comorbidities and advanced age. The perforation was closed with a clip without any gaps, and the patient showed a favorable outcome.
After confirming the absence of leakage on esophagography, the stone was removed endoscopically, and the patient was discharged from the hospital. We report a case in which esophageal perforation was successfully treated without surgery.
