Ellsbury was stealing second on the pitch and continued to third when the ball rolled toward the backstop. Victorino beat out a slow chopper to shortstop, putting the Red Sox ahead 2-1.
"Victorino really adds a different dimension to that group, and you saw that again tonight. He just drips with intangibles," Maddon said.
Breslow pitched 1 2-3 scoreless innings for the win. Uehara earned a save, bouncing back from Lobaton's ninth-inning homer in Game 3.
Tampa Bay won three win-or-go-home games last week just to reach the division series. Coming from behind in another elimination game Monday gave them hope of taking the series back to Fenway Park, where the Rays were outscored 19-6 in the first two games.
The trip to the ALCS will be Boston's first since 2008, when the Red Sox lost in seven games to Tampa Bay.
When the Red Sox acquired Peavy from the Chicago White Sox at the trade deadline, they had nights like this in mind. The 32-year-old right-hander made his third career postseason start 2,562 days — a span of seven years, five days — after starting Game 1 of the NL division series for San Diego in 2006.
Both he and Rays starter Jeremy Hellickson were working with plenty of rest.
Although he pitched two innings in a simulated game last week while the Red Sox were waiting to learn who they would face, Peavy hadn't appeared in a major league game in 13 days. Hellickson hadn't pitched since Sept. 27, and his selection as Tampa Bay's starter in an elimination game was somewhat of a surprise.
He didn't last long.
After a 1-2-3 first inning, Hellickson walked David Ortiz and Mike Napoli on eight straight pitches to begin the second. Daniel Nava singled to load the bases, and Maddon had seen enough.
Jamey Wright, an 18-year veteran in his first postseason series, worked out of the jam by striking out Jarrod Saltalamacchia and getting Stephen Drew to line into a double play.
NOTES: Peavy allowed one run, five hits and struck out three in 5 2-3 innings. ... Former major leaguer Rocco Baldelli, a Rhode Island native who played for both the Rays and Red Sox, threw the ceremonial first pitch. ... Rookie RF Wil Myers was back in Tampa Bay's lineup after leaving Game 3 with leg cramps. ... Victorino was hit by a pitch four times in the series, twice in Game 4. ... Lobaton's game-ending homer Monday night landed in the giant fish tank beyond center field. Only two others players — Miguel Cabrera earlier this season and Luis Gonzalez in 2007 — have homered into the tank that has been home to cownose rays since it was installed in 2006.
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