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

نویسندگان

  • Alvaro Cordero-Jiménez
  • Rafael Tenor-Serrano
  • Carlos Muñoz-Palza
  • José Rafael Solano-Romero
چکیده

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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Laser Therapy of Esophageal Carcinoma

SUMMARY 13 Consecutive patients who underwent endoscopic Nd - Y AG laser therapy for palliation of advanced esophageal cardnoma were treated between Oct 1989, and July 1991 , in Khatam - al -Anbia Hospital. All patients had severe dysphagia and conventional methods such as surgery , Radiotherapy and chemotherapy failed to treat them. Undoubtedly without laser therapy these patients did not see...

متن کامل

Intensity-modulated radiation therapy with concurrent chemotherapy for locally advanced cervical and upper thoracic esophageal cancer.

AIM To evaluate the dosimetry, efficacy and toxicity of intensity-modulated radiation therapy (IMRT) and concurrent chemotherapy for patients with locally advanced cervical and upper thoracic esophageal cancer. METHODS A retrospective study was performed on 7 patients who were definitively treated with IMRT and concurrent chemotherapy. Patients who did not receive IMRT radiation and concurren...

متن کامل

SPLENIC ARTERIOVENOUS FISTULA: A RARE LESION CAUSING BLEEDING ESOPHAGEAL VARICES

We report a case of a 40 year old man with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed at laparotomy. He presented with bleeding esophageal varices and was initially treated by sclerotherapy. At laparotomy, portal pressure was 40 cmH20 but fell to 20 cm H20 after the fistula was treated with splenectomy. All symptoms disappeared shortly after operation ...

متن کامل

Esophagobronchial Fistula in a Patient with Squamous Cell Carcinoma of the Lung: A Case Report

A 73-year-old man was referred to our hospital after a 2-week history of bloody sputum and cough. Computed tomography (CT) images of the chest showed a mass grouped with mediastinal lymph nodes, and bronchoscopy showed a projecting mass in the right main bronchus. After a transbronchial biopsy, the patient was diagnosed with squamous cell carcinoma (T4N2M0 stage IIIB). The patient was treated w...

متن کامل

Evaluating the efficacy of various therapeutic modalities in advanced esophageal cancer

Introduction: Esophageal cancer is an invasive and fatal malignancy, with the highest global incidence in southern and eastern Africa and eastern Asia. Patients with advanced localized disease and poor prognosis face a five-year survival rate of 15% to 34%. The research is aimed at evaluating Different strategies have been done to treat esophageal cancer by meta-analysis. <str...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Acta otorrinolaringologica espanola

دوره 63 3  شماره 

صفحات  -

تاریخ انتشار 2012