A 73-year-old female patient with a known history of achalasia, arterial hypertension, type 2 diabetes mellitus, obesity, and mild dyslipidemia was emergently transferred from another hospital unit. The referral was necessitated by an iatrogenic esophageal perforation sustained during an attempted balloon dilatation procedure.

Immediately following the perforation, an attempt was made to close the defect using hemostatic clips; however, this was unsuccessful due to the extensive size of the perforation. Prior to transfer, the patient received supportive care, including broad-spectrum antibiotics and fluid resuscitation.