RT Journal Article SR Electronic T1 Pleural flap for delayed presentation of intrathoracic esophageal perforation JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1267 OP 1269 VO 25 IS 9 A1 Machmouchi, Mahmoud A. A1 Bakhsh, Khaled A. A1 Al-Harbi, Mohammed A. A1 Al-Shareef, Zain H. YR 2004 UL http://smj.org.sa/content/25/9/1267.abstract AB The authors report 2 cases of large intrathoracic esophageal perforation, as a complication of foreign body in 2 boys, 4 and 9-years-old. The delay in diagnosis was more than 36 hours in both cases that were treated successfully by a large pleural flap. Postoperatively, solid oral feeding was initiated after 2 weeks. Although gastrostomy was not performed on both patients, in cases of large esophageal perforation, it is recommended to establish early feeding and prevent aggressive vomiting.