Since the patient had hematemesis, an upper gastrointestinal endoscopy was performed before surgery. It showed large hole in the left wall of the distal esophagus Figure 3. During preparation for an open thoracotomy, it was decided to enter through the perforation.
Dado que presentó hematemesis, se le realiza una endoscopia de vías digestivas altas, previa a la cirugía, observándose una gran perforación en la pared izquierda del esófago distal figura 3.