Fig. 1

CT scan of the chest revealed subcutaneous and mediastinal emphysema in the chest and left Encapsulated Effusion. Esophagography showed an extensive tear on the left side of the middle and lower portions of thoracic esophagus. a Lung window, Arrow: subcutaneous and mediastinal emphysemas. b Mediastinal window, Arrow: encapsulated effusion. c Postero-anterior position, d left lateral position, e right lateral position. Arrow: contrast agent entered into left thoracic cavity through the ruptured esophagus