Successful surgical strategy in a late case of Boerhaave’s syndrome

Figure 1 A gastrografin swallow, showing extravasation of contrast in the left chest (arrow) (A), computed tomography of the chest with oral contrast, demonstrating a lower left esophageal tear with mediastinal leakage of oral contrast medium (arrow) and a left pleural effusion (B).

Figure 2 Intraoperative view showing the y-chest tube positioned near and parallel to the repaired esophagus (A) and custom-made y-chest tube (B).

Figure 3 Diagrammatic illustration of the drainage series.

Figure 4 Gastrografin swallow, showing free flow of contrast from the esophagus into the stomach without any leakage.