F铆stula es贸fago-espondilorraqu铆dea en paciente tratado con radioterapia y quimioterapia
- 作者：Á ; lvaro Cordero-Jimé ; nez ; alvarocorderoj@gmail.com ; Rafael Tenor-Serrano ; Carlos Muñ ; oz-Palza ; José ; Rafael Solano-Romero
- 关键词：Fí ; stula esó ; fago-raquí ; dea ; Efectos adversos radioterapia ; Absceso extradural
- 刊名：Acta Otorrinolaringol贸gica Espa帽ola
- 出版年：2012
- 期刊代码：pca34_00016519
- 类别：med
- 出版时间：May-June, 2012
- 卷：63
- 期：3
- 页码：241-243
- 文件大小：556 K
摘要
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.