Esophageal wall rupture after EUS-FNA for mediastinal staging is a severe complication. Here we describe the management of two patients with esophageal wall rupture and the presence of empyema. Management was in both cases surgical and consisted of a decortication via thoracotomy. Postoperative IV antibiotics and parenteral nutrition were continued until the first negative X-ray with gastrografin. Both patients recovered and left the hospital in good condition and with oral intake.
Keywords: Endoscopy/endoscopic procedures; empyema; esophageal injury/perforation; mediastinal lymph nodes.