Conclusion
Our patient with no history of esophageal disease, presented with
partial thickness esophageal perforation from the hypopharynx to the
aortic arch. Due to the unusual location of a spontaneous esophageal
perforation, her mild symptoms, and her imaging, she was felt to have a
retropharyngeal abscess. Our case is the first study showing a
hypopharyngeal and cervical esophageal perforation following yelling.
She underwent combined open and endoscopic repair and is back to
baseline 5 months after intervention.