Esophageal perforation is a surgical emergency associated with high morbidity and mortality rates. The mortality remains high, with a pooled mortality of 22% from a recent review of published series. The 30-day mortality rate from esophageal perforation at a national level in England is 30.0%. Although many treatment options have been explored, no single efficient strategy has been developed to date. Conservative, surgical or endoscopic treatment strategies are available to the treatment.
The treatment of the disease is dependent on the cause and location of the injury, the diagnosis time, the underlying esophageal disease, and the delay between injury and initiation of treatment. Here we reported our therapeutical experience of a case with cervical esophageal perforation caused by foreign body ingestion. The patient has abnormal right aortic arch and permanent pacemaker installed.