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Mediastinitis secondary to esophageal perforation is usually a life-threatening problem associated with high morbidity and mortality.We present a 44-year-old morbidly obese female who underwent laparoscopic gastric bypass, during which she suffered perforation of the distal thoracic esophagus diagnosed 5 days later during progression of mediastinitis. She was treated with left posterolateral thoracotomy,...