[Spinal-esophageal fistula in a patient treated with concurrent chemotherapy and radiotherapy]

Acta Otorrinolaringol Esp. 2012 May-Jun;63(3):241-3. doi: 10.1016/j.otorri.2011.01.006. Epub 2011 Mar 22.
[Article in Spanish]

Abstract

We present the case of a 56-year-old male patient with a history of glottic carcinoma treated with concurrent chemotherapy and radiotherapy in complete remission, who went to hospital with severe neck pain, upper right limb weakness and dysphagia. Physical examination showed neck stiffness as well. Spondylitis at C6-C7 spinal level with extradural abscess formation was diagnosed by MRI. Barium radiography revealed an esophageal ulcer with a posterior sinus path. Conservative treatment was given with percutaneous gastrostomy and antibiotics. The patient's symptoms improved and the fistula and the abscess had disappeared in the later MRI control studies.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Carcinoma / complications*
  • Carcinoma / drug therapy
  • Carcinoma / radiotherapy
  • Cervical Vertebrae*
  • Combined Modality Therapy
  • Debridement
  • Diagnosis, Differential
  • Epidural Abscess / complications*
  • Epidural Abscess / drug therapy
  • Epidural Abscess / surgery
  • Esophageal Fistula / diagnosis
  • Esophageal Fistula / etiology*
  • Esophageal Fistula / surgery
  • Fistula / diagnosis
  • Fistula / etiology*
  • Fistula / surgery
  • Humans
  • Laryngeal Neoplasms / complications*
  • Laryngeal Neoplasms / drug therapy
  • Laryngeal Neoplasms / radiotherapy
  • Male
  • Middle Aged
  • Radiation Injuries / diagnosis
  • Radiation Injuries / etiology*
  • Radiation Injuries / surgery
  • Radiotherapy / adverse effects*
  • Spinal Diseases / diagnosis
  • Spinal Diseases / etiology*
  • Spinal Diseases / surgery
  • Spinal Neoplasms / diagnosis
  • Spinal Neoplasms / secondary
  • Spondylitis / complications*
  • Spondylitis / drug therapy
  • Ulcer / complications

Substances

  • Anti-Bacterial Agents