Esophageal rupture is one of the rarest disease. Mackler described that esophageal rupture was differentiated from esophageal perforation, the perforation is produced by esophagoscopy, and continuous erosion, such as esophagitis, gastric reflux, hiatal hernia and malignant neoplasm of the esophagus, the rupture is occured by severe vomiting, cough and strong positive pressure into the esophageal lumen.
Since, at first Boerhaave reported the esophageal rupture due to severe vomiting in 1742, several case reports of esophageal rupture have been in the literatures.
Authors reported a case of the esophageal rupture due to explosion of gasoline in 50 year old female. The rupture occured a longitudinal rent on the left posterolateral aspect of lower one third of esophagus, and accompanied with second degree burn on the entire face and neck. The treatment consists of immediate thoracotomy in order to drainage of pyothorax and gastrostomy for nutritional problem, but patient expired because of septicemia probablly due to uncontrollable empyema of thorax on 45th admitted day.
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