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Surgical treatment of intractable cutaneous fistula with osteomyelitis in the neck developed after esophagectomy.
- Source :
-
Anticancer research [Anticancer Res] 2007 Nov-Dec; Vol. 27 (6C), pp. 4359-64. - Publication Year :
- 2007
-
Abstract
- A case of intractable cutaneous fistula in an esophagogastrostomized region complicated by osteomyelitis is reported. A three-stage operation was performed, and gratifying results were obtained. The patient was a 74-year-old man who received a subtotal esophagectomy and a cervical esophagogastrostomy through a retrosternal approach for advanced esophageal cancer. Following subsequent radiotherapy, the anastomosed region in the neck was found to have been stenosed. Endoscopic balloon dilatation was then performed and perforation of the stenosed region occurred to form an intractable fistula. A chest computed tomography scan revealed osteolysis of the sternum, clavicular head and left first rib. Treatment comprised an initial control of the infective foci including osteomyelitis and, after achieving stabilization of the wounds, the subsequent step of reconstruction. The patient's postoperative course was satisfactory without involvement of any leakage or stenosis of the anastomosed regions, or wound infection. It is considered feasible to cure even a cutaneous fistula in the neck complicated by osteomyelitis, as in the present case, by sufficient control of infection and procedural contrivance.
- Subjects :
- Aged
Carcinoma, Squamous Cell radiotherapy
Carcinoma, Squamous Cell surgery
Catheterization adverse effects
Constriction, Pathologic etiology
Constriction, Pathologic surgery
Cutaneous Fistula surgery
Esophageal Neoplasms radiotherapy
Esophageal Neoplasms surgery
Humans
Male
Neck
Osteomyelitis surgery
Radiotherapy
Plastic Surgery Procedures
Cutaneous Fistula etiology
Esophagectomy adverse effects
Osteomyelitis etiology
Postoperative Complications
Subjects
Details
- Language :
- English
- ISSN :
- 0250-7005
- Volume :
- 27
- Issue :
- 6C
- Database :
- MEDLINE
- Journal :
- Anticancer research
- Publication Type :
- Academic Journal
- Accession number :
- 18214044