Fig. 1

Iatrogenic esophageal perforation during an upper endoscopic procedure treated with a fully covered SEMS. A demonstrates the perforation in the esophagus represented on CT Chest with free air in the mediastinum. B demonstrates the endoscopic visualization of perforation with a guidewire in the esophageal lumen. C demonstrates placement of the fully covered SEMS. D demonstrates healing of the IEP after stent is removed