T-tube management of late esophageal perforation

Esophageal perforation is a serious condition with a high mortality rate. management strategy of such a patient depends on the extent of perforation and the time interval between perforation and diagnosis. the use of a t tube to treat delayed esophageal perforation with complete resolution and no need for future definitive surgery has been less frequently described. we adapted this principle in successful management of a 73 year old patient with four days history of fever, shortness of breath, chest pain and radiological evidence of perforation.