Introduction: Boerhaave syndrome is a rare cause of esophageal perforation, but is associated with significant morbidity and mortality. Methods: Here we present a case of a 72 year-old male with esophageal rupture secondary to forceful emesis. Diagnosis was confirmed with CT scan and oral contrast which demonstrated extravasation from the distal esophagus. Patient was taken to the operating room for placement of a laparoscopic jejunostomy tube, and endoscopic treatment of his perforation. Endoscopic lavage through the perforation was performed in conjunction with placement of an endoscopic stent. Results: Control of the esophageal perforation was completed endoscopically with stent placement. There were no intraoperative complications. Patient was initiated on an oral diet on POD#5. Stent was removed with complete healing of the esophagus. Conclusion: Endoscopic stent placement is an acceptable and safe option for control of esophageal perforation secondary to Boerhaave syndrome.