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Pharyngoesophageal diverticulum perforation 18 years after anterior cervical fixation.

Authors
Type
Published Article
Journal
Interactive Cardiovascular and Thoracic Surgery
1569-9285
Publisher
Oxford University Press
Publication Date
Volume
18
Issue
2
Pages
240–241
Identifiers
DOI: 10.1093/icvts/ivt421
PMID: 24246672
Source
Medline
Keywords
License
Unknown

Abstract

Anterior cervical spinal surgery can lead to various complications. We hereby present a case of two rare complications combined-pharyngo-oesophageal diverticulum and its perforation after cervical plate dislodgement. A 53-year old male patient presented with progressive dysphagia 18 years after anterior cervical spinal fusion with tricortical bone graft and custom-made plate at the C6/7 level. Oesophagography revealed a pharyngo-oesophageal diverticulum in front of the cervical plate. It was confirmed by subsequent oesophagoscopy, which also demonstrated a 3-cm longitudinal defect at the posterior wall of the diverticulum. During surgical exploration of the patient's neck, the plate was removed, the diverticulum was completely mobilized and excised, the oesophageal wall manually sutured and a cricopharyngeal myotomy performed. An oesophageal suture line failure was suspected postoperatively, but was not confirmed during reoperation. A year later, the patient has no dysphagia or any other symptoms.

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