Esophageal perforation following the use of esophageal obturator airway

Two cases of distal esophageal perforation following the use of the esophageal obturator airway are reported. Plain radiograph findings of pneumomediastinum, subcutaneous emphysema, mediastinal widening, or pleural effusion suggest this entity; esophagography should be performed in the appropriate clinical setting. The recognition of this uncommon but serious complication is important because medical and/or surgical management is urgent.