Figure 8.

A 22-year-old woman with severe reflux stricture of the distal thoracic esophagus. (A) Preprocedural esophagogram showing marked luminal narrowing in the distal thoracic esophagus. (B) Following fluoroscopically guided balloon dilation, an extraluminal collection of contrast material in the mediastinum (arrows) was demonstrated on the postprocedural esophagogram, indicating the occurrence of a transmural perforation. The patient was managed nonsurgically. Esophagography performed 1 week later demonstrated complete healing of the leak.