ESOPHAGEAL PERFORATION AFTER ANTERIOR CERVICAL SPINE SURGERY: A CASE REPORT

Sultan K. Kadasah; Nadeem W. Malik; Abdulwahid Saeed Alqahtani; Mohammed Ali Ibrahim Alhamoud; Shahd Saeed Ali Dlboh; Abdulrahman Jobran S. Alqahtani; Adnan Saeed Q Al-Malki

doi:10.46903/gjms/21.03.1352

ESOPHAGEAL PERFORATION AFTER ANTERIOR CERVICAL SPINE SURGERY: A CASE REPORT

Sultan K. Kadasah, Nadeem W. Malik, Abdulwahid Saeed Alqahtani, Mohammed Ali Ibrahim Alhamoud, Shahd Saeed Ali Dlboh, Abdulrahman Jobran S. Alqahtani, Adnan Saeed Q Al-Malki

Abstract

Esophageal perforation is a rare but well-known complication of anterior cervical spine surgery. We present a case report of 36- year- old male presenting with gradual painful left neck swelling, tenderness, fever, rigor, and chills, four months after anterior cervical spine surgery. After doing necessary investigations the patient was operated for pus drainage and esophageal perforation was also noticed during the surgery that was repaired along with hard ware removal. Later on due to wound complications the patient was referred to another higher center, where he was re-operated. After improvement he was received back in our hospital for follow-up management and then discharged after complete recovery.

Keywords

Esophageal injury; ACDF; Anterior cervical spine; Fusion; Corpectomy; Discectomy; Cervical.

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References

Orlewicz M, Amhaz H, Kuo R, Vaidya R. Esophageal perforation following cervical spine surgery: A review with considerations in airway management. International Journal of Critical Illness and Injury Science. 2013;3(4):276. https://doi.org/10.4103/2229-5151.124164

Yang S-Y, Lee S-B, Cho K-S. Delayed Esophagus Perforation after Anterior Cervical Spine Surgery. Korean Journal of Neurotrauma. 2015;11(2):191. https://doi.org/10.13004/kjnt.2015.11.2.191

Almre I, Asser A, Laisaar T. Pharyngoesophageal diverticulum perforation 18 years after anterior cervical fixation. Interactive Cardiovascular and Thoracic Surgery. 2014;18(2):240-1. https://doi.org/10.1093/icvts/ivt421

Burke JP, Gerszten PC, Welch WC. Iatrogenic vertebral artery injury during anterior cervical spine surgery. Spine Journal. 2005;5(5):508-14. https://doi.org/10.1016/j.spinee.2004.11.015

Krishnan P, Kartikueyan R, Patel SM, Bose PP, Mukherjee KK. Two cases of esophageal injury following anterior cervical discectomy and fusion: One overt and one covert. Annals of Neurosciences.2017;24(2):126-30. https://doi.org/10.1159/000475902

Halani SH, Baum GR, Riley JP, Pradilla G, Refai D, Rodts GE, et al. Esophageal perforation after anterior cervical spine surgery: A systematic review of the literature. Journal of Neurosurgery: 2016;25: 285-91. https://doi.org/10.3171/2016.1.SPINE15898

Tasiou A, Giannis T, Brotis AG, Siasios I, Georgiadis I, Gatos H, et al. Anterior cervical spine surgery-associated complications in a retrospective case-control study. Journal of Spine Surgery. 2017;3(3):444-59. https://doi.org/10.21037/jss.2017.08.03

Dakwar E, Uribe JS, Padhya TA, Vale FL. Management of delayed esophageal perforations after anterior cervical spinal surgery: Clinical article. Journal of Neurosurgery.2009;11(3):320-5. https://doi.org/10.3171/2009.3.SPINE08522

Elgafy H, Khan M, Azurdia J, Peters N. Open wound management of esophagocutaneous fistula in unstable cervical spine after corpectomy and multilevel laminectomy: A case report and review of the literature. World Journal of Orthopedics. 2017;8(8):651-5. https://doi.org/10.5312/wjo.v8.i8.651

Ahn, S. H., Lee, S. H., Kim, E. S., & Eoh, W. Successful repair of esophageal perforation after anterior cervical fusion for cervical spine fracture. Journal of Clinical Neuroscience, 2011;18(10):1374-1380. https://doi.org/10.1016/j.jocn.2011.02.031

Han1 SV, Mcelvein RB, Aldrete JS & Tishler1 JM. Perforation of the Esophagus:1985 Correlation of Site and Cause with Plain Film Findings. www.ajronline.org https://doi.org/10.2214/ajr.145.3.537

Hershman SH, Kunkle WA, Kelly MP, Buchowski JM, Ray WZ, Bumpass DB, et all.Esophageal perforation following anterior cervical Spine surgery: Case report and review of the literature. Global Spine Journal.2017;7(1):28S-36S). Thieme Medical Publishers, Inc. https://doi.org/10.1177/2192568216687535

Navarro R, Javahery R, Eismont F, Arnold DJ, Bhatia NN., VanniS, et all. The Role of the Sternocleidomastoid Muscle Flap for Esophageal Fistula Repair in Anterior Cervical Spine Surgery. Spine.2005;15(30). https://doi.org/10.1097/01.brs.0000182309.97403.ca

Michel L, Grillo HC, Malt RA. Operative and Nonoperative Management of Esophageal Perforations. Ann Surg 1981;194(1):57-63. https://doi.org/10.1097/00000658-198107000-00010

Ji H, Liu D, You W, Zhou F, & Liu Z. Success in esophageal perforation repair with open-wound management after revision cervical spine surgery: A case report. Spine, 2015;40(3), E183-E185. https://doi.org/10.1097/BRS.0000000000000712

DOI: https://doi.org/10.46903/gjms/21.03.1352