Abstract
A 57-year-ald male devoloped hernatemesis due to vorniting following alcohol intake.Right pyopneumothorax was observed. Though this finding was not one of the conventionalindications for conservative therapy, he recovered after the thorough drainage using threeintrathoracic catheters and the nutritional management by intravenous hyperalimentation.Even in patients wzth severe spontaneous esophageal rupture, if goad drainage can be achieved, Conservative treatment may be possible.