Treatment of an esophageal perforation with enteral alimentation and transgastric drainage: case report.

Esophageal perforation with abscess formation has traditionally been approached surgically. A case report of percutaneous drainage of an esophageal perforation is presented. The drainage was performed in conjunction with a percutaneous gastrostomy. One catheter was placed initially in the gastric fundus for drainage and a second catheter was advanced through the gastroesophageal junction, through the perforation, and into the abscess. This management resulted in healing of the abscess cavity and sealing of the perforation.