Abstract
Boerhaave syndrome is a life-threatening condition often requiring emergency surgery, but recent endoscopic advancements offer alternatives. We present a case of esophageal perforation in a 58-year-old man managed with damage-control esophageal exclusion surgery, followed by luminal salvage with endoscopic stenting. Surgery revealed a large distal esophageal tear, which was excluded from a stapling device. During endoscopic evaluation, a wire was passed through the staple line, thus allowing stent deployment and restoring patency. The stent was later removed, with complete tissue recovery. This case highlights the potential of advanced endoscopic therapies to manage esophageal perforations and reduce the need for surgical procedures.