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.