Thoracic vertebral osteomyelitis secondary to chronic esophageal perforation

Sreedharan, Loveena; Lakshmanan, Palaniappan; Shenfine, Jonathan; Gibson, Michael J.; Griffin, SM

doi:10.1016/j.spinee.2008.05.010

“…Spinal infection has been reported following iatrogenic esophageal injuries resulting from endoscopic management of Zenker's diverticulum [16,17], upper GI endoscopic procedures [18], esophagectomy surgery [19], concurrent chemotherapy and radiotherapy [20], stenting of esophageal strictures [21], accidental esophageal injuries while eating sh [22] and chronic esophageal perforation [23]. Esophageal injuries have also been reported following anterior cervical spine surgery leading to infective spondylitis and spinal wound infection (0.3-0.9%) [24,25,26].…”

Section: Discussionmentioning

confidence: 99%

Rokitansky diverticulum with esophageo-spinal fistula leading to infective spondylodisciitis – A case report and review of literature

KUKREJA

¹

,

Thirugnanam

²

,

Janardhan

³

et al. 2021

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Background- Infective thoracic spondylodiscitis secondary to spontaneous perforation of the esophageal diverticulum is a rare condition. Case Report- A 56-year-old lady with cystic lung disease and pulmonary arterial hypertension of nine years duration and progressive dysphagia for two years was diagnosed with mid-esophageal diverticulum five months prior to presentation. The lady presented with infrascapular chest wall pain of one month’s duration and dyspnoea and wheezing of 15 days duration. Imaging showed a mid-esophageal diverticulum at T4-T5 level with a sinus tract extending to the T2-T3 disc, reduced T2-T3 disc height with endplate irregularities, and contrast enhancement of T2-T5 vertebral bodies suggestive of spondylodiscitis. Although a percutaneous vertebral biopsy was inconclusive, the blood culture grew Streptococcus Pseudoporcinus. The esophageal diverticulum was managed with an endoluminal stent and the infective spondylodisciitis was managed with an extended course of antibiotics led to the healing of both lesions. Conclusions- A Rokitansky mid-esophageal diverticulum with esophageo-spinal fistula causing infective spondylodisciitis is a rare condition. A combined management of the leaking esophageal diverticulum using an esophageal endoluminal metallic stent and an extended course of antibiotics to treat the infective spondylodisciitis led to a good outcome.

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“…Spinal infection has been reported following iatrogenic esophageal injuries resulting from endoscopic management of Zenker's diverticulum [16,17], upper GI endoscopic procedures [18], esophagectomy surgery [19], concurrent chemotherapy and radiotherapy [20], stenting of esophageal strictures [21], accidental esophageal injuries while eating sh [22] and chronic esophageal perforation [23]. Esophageal injuries have also been reported following anterior cervical spine surgery leading to infective spondylitis and spinal wound infection (0.3-0.9%) [24,25,26].…”

Section: Discussionmentioning

confidence: 99%

Rokitansky diverticulum with esophageo-spinal fistula leading to infective spondylodisciitis – A case report and review of literature

Kukreja

¹

,

Thirugnanam

²

,

Janardhan

³

et al. 2021

Preprint

0

View full text Add to dashboard Cite

Background- Infective thoracic spondylodiscitis secondary to spontaneous perforation of the esophageal diverticulum is a rare condition. Case Report- A 56-year-old lady with cystic lung disease and pulmonary arterial hypertension of nine years duration and progressive dysphagia for two years was diagnosed with mid-esophageal diverticulum five months prior to presentation. The lady presented with infrascapular chest wall pain of one month’s duration and dyspnoea and wheezing of 15 days duration. Imaging showed a mid-esophageal diverticulum at T4-T5 level with a sinus tract extending to the T2-T3 disc, reduced T2-T3 disc height with endplate irregularities, and contrast enhancement of T2-T5 vertebral bodies suggestive of spondylodiscitis. Although a percutaneous vertebral biopsy was inconclusive, the blood culture grew Streptococcus Pseudoporcinus. The esophageal diverticulum was managed with an endoluminal stent and the infective spondylodisciitis was managed with an extended course of antibiotics led to the healing of both lesions. Conclusions- A Rokitansky mid-esophageal diverticulum with esophageo-spinal fistula causing infective spondylodisciitis is a rare condition. A combined management of the leaking esophageal diverticulum using an esophageal endoluminal metallic stent and an extended course of antibiotics to treat the infective spondylodisciitis led to a good outcome.

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“…[4,8,9] It has also been reported that it may be seen as a complication of surgical procedures for the tissues surrounding the esophagus. [10][11][12] The incidence of iatrogenic perforation is less than 0.5% when all procedures for the esophagus are considered. [13] In children, esopha-geal injuries usually arise from accidental swallowing of caustic liquids.…”

Section: Discussionmentioning

confidence: 99%

Esophageal Perforation and Imaging Findings in a 4 Years Old Child

Kara¹

2019

Anatol JFM

0

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Esophageal perforation is a rare pathologic condition with high mortality. Iatrogenic, endoscopic interventions are the most common cause. Early diagnosis and treatment should be performed. The diagnosis of esophageal perforation is based on the clinical suspect and radiographic evidence. In this case study, a 4-year-old boy, who swallowed a coin and experienced endoscopic intervention leading iatrogenic esophageal perforation and pleural empyema, is presented usingimaging findings (direct chest X-ray, contrast-enhancedfluoroscopy, thorax computed tomography) and brief literature knowledge.

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Thoracic vertebral osteomyelitis secondary to chronic esophageal perforation

Cited by 9 publications

References 9 publications

Rokitansky diverticulum with esophageo-spinal fistula leading to infective spondylodisciitis – A case report and review of literature

Rokitansky diverticulum with esophageo-spinal fistula leading to infective spondylodisciitis – A case report and review of literature

Rokitansky diverticulum with esophageo-spinal fistula leading to infective spondylodisciitis – A case report and review of literature

Esophageal Perforation and Imaging Findings in a 4 Years Old Child

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