A 36-year-old male ingested approximately 100 mL of caustic soda liquid(sodium hydroxide) in a suicide attempt. he presented to our emergency department after 2 hours on November 13, 2016 with nausea, vomiting, retrosternal pain, hematemesis (approximately 100mL), and dyspnea. He was belonged to the scar constitution previously. Upon admission, Physical exam was positive for tachycardia, tachypnea, and coarse respiratory sounds.and body temperature was 37.9℃, blood pressure was 108/62mmHg. The oropharyngeal injury and hemorrhagic, however, her abdomen was flat and soft. Bowel sounds were normal. Although marked epigastric tenderness was present, there was no rebound tenderness or guarding. His complete blood count and biochemistry tests were in normal ranges, except for a white blood cell count of 20.93*10^9/L, neutrophils 16.94*10^9/L, and neutrophil percentage 80.9%. contrast-enhanced computed tomography (CT) Chest and CT of the whole abdomen revealed no esophageal or gastrointestinal perforations. During hospitalization, The major short-term complications of pneumonias, hemorrhage, and airway obstruction with the patient. His therapy included tracheotomy, intravenous fluid, total parenteral nutrition, H2 receptor blocker, antibiotherapy, , and other symptomatic therapies. And he can drinking water slowly without choking and coughing until day 10, and was allowed to eat fluids until week 2 . Initial endoscopy was withheld because there was a high risk of esophageal or gastric perforation. Besides, The patient underwent upper gastrointestinal endoscopy on week 4 after admission revealed multiple serious strictures in the whole of esophagus(Fig. 1). It was concordant with the grade IIb of caustic esophageal injury classification defined by Zargar et al.[8]. Finally, the patient was diagnosed with CES caused by sodium hydroxide. He is a scar constitution, surgery was traumatic and risky, and the patient refused to undergo surgical therapy, so he was fed by nasogastric tube.