Successful treatment of cervical esophageal leakage by endoscopic-vacuum assisted closure therapy

Figure 1 Radiographic findings of the second patient with Zenker’s diverticulum. A: Barium swallow showing the Zenker’s diverticulum (arrow) out-pouching from the posterior wall of the esophagus. Computed tomography scan showing the cervical esophageal leakage with periesophageal mediastinal abscess and extraluminal air (arrow); B: Contrasted esophagus (asterisk) with extravasation; C: Gastrografin swallow after endoscopic-vacuum assisted closure treatment showing a small residual saccular protrusion (arrow), but no leakage and no stenosis, clip in situ.