Esophageal Perforation after Thoracic Vertebral Fracture in an Ankylosed Spine: Case Report and Review of the Literaturep>Johanne Summers1*, Craig Timms1 and Tony Goldschlagera2
- *Corresponding Author:
- Dr. Johanne Summers
Department of Neurosurgery
Monash Medical Centre, 3168 Victoria, Australia
Tel: (+61) 402579639
Fax: (+61) 395926962
E-mail: [email protected]
Received date: March 09, 2014; Accepted date: April 28, 2014; Published date: May 09, 2014
Citation: Summers J, Timms C and Goldschlagera T (2014) Esophageal Perforation after Thoracic Vertebral Fracture in an Ankylosed Spine: Case Report and Review of the Literature. Journal of Surgery [Jurnalul de Chirurgie] 10:16:70-73. doi: 10.7438/1584-9341-10-1-16
Copyright: © 2014 Summers J et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
We present the case of a 74 year-old male with delayed diagnosis of post-traumatic thoracic esophageal perforation that occurred secondary to thoracic vertebral fracture in an ankylosed spine. The injury resulted after a fall from chair secondary to an unconscious collapse due to Ventricular Fibrillation (VF). At 8 days after the injury, the patient was diagnosed with esophageal perforation, secondary to fourth thoracic vertebral fracture without neurological deficit. The esophageal laceration was complicated by sepsis with bacteremia, pleural empyema and mediastinal abscess. Non-surgical management for the esophageal perforation, chest complications and thoracic spine fracture resulted in complete recovery. A case report and review of the literature is presented. We report the first case of post-traumatic thoracic esophageal perforation secondary to thoracic T4 vertebral fracture, in a patient with an ankylosed spine that survived neurologically intact after successful conservative management.