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Thoracic Discitis as a Complication of Self-Expanding Metallic Stents in Esophageal Carcinoma

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Abstract

The role of metallic stents in the palliation of esophageal cancer is well established. Self-expanding metal stents (SEMSs) are frequently used, as they provide an effective and safe method of relieving malignant dysphagia. A number of complications are associated with the use of SEMSs, including esophageal perforation. We report a case of thoracic discitis occurring in a patient with advanced esophageal malignancy, treated with SEMSs. We propose that the likely etiology in this patient was esophageal perforation by a metallic stent.

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References

  1. Lee SH (2001) The role of oesophageal stenting in the non-surgical management of oesophageal strictures. Br J Radiol 74(886):891–900

    CAS  PubMed  Google Scholar 

  2. Yakoub D, Fahmy R, Athanasiou T et al (2008) Evidence based choice of esophageal stent for the palliation of malignant dysphagia. World J Surg 32(9):1996–2009

    Article  PubMed  Google Scholar 

  3. Wang M, Sze DY, Wang ZP, Wang ZQ, Gao YA, Dake MD (2001) Delayed complications after esophageal stent placement for treatment of malignant esophageal obstructions and esophagorespiratory fistulas. J Vasc Interv Radiol 12(4):465–474

    Article  CAS  PubMed  Google Scholar 

  4. Christie NA, Buenaventura PO, Fernando HC et al (2001) Results of expandable metal stents for malignant esophageal obstruction in 100 patients: short-term and long-term follow up. Ann Thorac Surg 71:1797–1802

    Article  CAS  PubMed  Google Scholar 

  5. Iraha Y, Murayama S, Toita T et al (2006) Self expandable metallic stent placement for patients with inoperable esophageal carcinoma: investigation of the prior influence of radiotherapy and chemotherapy. Radiat Med 24(4):247–252

    Article  PubMed  Google Scholar 

  6. Mersol JV (2002) Spine complications of stent placement. Gastrointest Endosc 55(2):241

    Article  PubMed  Google Scholar 

  7. Lloyd D, Smith D (2002) Cervical discitis in a patient with an oesophageal stent for carcinoma. Rheumatology (Oxford) 41(12):1453–1459

    Article  CAS  Google Scholar 

  8. Boulis NM, Armstrong WS, Chanlder WF, Orringer MB (1999) Epidural abscess: a delayed complication of esophageal stenting for benign stricture. Ann Thorac Surg 68:568–570

    Article  CAS  PubMed  Google Scholar 

  9. Al-Nammari SS, Lucas JD, Lam KS (2007) Hematogenous methicillin-resistant Staphylococcus aureus spondylodiscitis. Spine 32(22):2480–2486

    Article  PubMed  Google Scholar 

  10. Ferri L, Lee JK, Law S, Wong KH, Kwok KF, Wong J (2005) Management of spontaneous perforation of esophageal cancer with covered self expanding metallic stents. Dis Esophagus 18(1):67–69

    Article  CAS  PubMed  Google Scholar 

  11. Jung GS, Park SD, Cho YD (2008) Stent-induced esophageal perforation: treatment by means of placing a second stent after removal of the original stent. Cardio Vasc Interv Radiol 31(3):663–666

    Article  Google Scholar 

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Correspondence to J. Latimer.

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Ethical consent: The patient in this Case Report is now deceased. Consent was not sought from next of kin, as the authors felt the patient would not be practicably identifiable from the text and images.

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McQueen, A.S., Eljabu, W., Latimer, J. et al. Thoracic Discitis as a Complication of Self-Expanding Metallic Stents in Esophageal Carcinoma. Cardiovasc Intervent Radiol 34 (Suppl 2), 300–302 (2011). https://doi.org/10.1007/s00270-009-9710-8

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  • DOI: https://doi.org/10.1007/s00270-009-9710-8

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