Successful conservative treatment for esophageal perforation by a fish bone associated with mediastinitis

A 14 year-old man presenting with esophageal perforation associated with me diastinitis due to the swallowing of a fish bone is reported herein. Conser vative treatment, including starvation therapy and the injection of antibio tic drugs, proved to be successful for this patient. Although the optimal t reatment for esophageal perforation remains controversial, it is important to choose the appropriate strategies when treating cases of esophageal perf oration with mediastinitis.