Discussion
Esophageal perforations are usually full thickness and in the lower esophagus from high pressure (vomiting or coughing). In contrast, our patient had a cervical CEP from yelling that was contained by the outer layer of the esophagus. She had very mild symptoms in contrast to the severe chest pain seen in lower esophageal perforations. Our patient underwent a combination of open drainage and repair, placement of a drain, endoscopic stenting, and non-oral feeds which resulted in a full recovery.