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A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy

Year 2021, , 76 - 78, 18.08.2021
https://doi.org/10.33706/jemcr.875643

Abstract

Introduction:
Spinal epidural abscess is a rare neurosurgical emergency that is usually seen invasive interventions to the spinal region, trauma or infection. In our case, anteriorly located spinal epidural abscess, which is caused by spontaneous esophageal rupture as complication of radiotherapy, is described.
Case report:
A 60-year-old female patient was admitted to the emergency department with complaints of confusion, high fever and weakness in both legs. The patient had been treated for lung metastasis of breast cancer with radiotherapy. Spinal anterior epidural abscess was observed in the spinal imaging, and it was considered that the abscess developed after esophageal rupture secondary to radiotherapy. After surgery the patient had antibiotic treatment during the postoperative period. Although there are cases of spinal epidural abscess that developed after esophageal rupture in the literature, they were generally observed after interventions to the esophagus or trauma to the chest. In our case, epidural abscess developed after radiotherapy, that caused esophageal rupture, was presented.
Conclusion:
Clinicians should consider spinal epidural abscess, which is a rare complication in patients with walking difficulties after radiotherapy, in the differential diagnosis.

References

  • 1. Reihsaus E, Waldbaur H, Seeling W Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurgical review 2000;23(4):175-204.
  • 2. Vakili M, Crum-Cianflone, NF Spinal epidural abscess: a series of 101 cases. The American journal of medicine 2017;130(12):1458-1463.
  • 3. Bond A, Manian FA. Spinal Epidural Abscess: A Review with Special Emphasis on Earlier Diagnosis. BioMed Research International 2016;1-6.
  • 4. Baron RD, Pal D, Crimmins DW, Dexter SPL. Spinal Epidural Abscess Presenting with Paraplegia Following Delayed Presentation of Traumatic Esophageal Perforation without Spinal Fracture: Lessons to be Learnt. Eur J Trauma 2010;36(3):247-9.
  • 5. Ghobrial GM, Beygi S, Viereck MJ, Maulucci CM, Sharan A, Heller J, Timing in the surgical evacuation of spinal epidural abscesses. FOC 2014;37(2):E1.
  • 6. Lu C-H, Chang W-N, Lui C-C, Lee P-Y, Chang H-W. Adult spinal epidural abscess: clinical features and prognostic factors. Clinical Neurology and Neurosurgery 2002;104(4):306-10.
  • 7. Wang H, Tan B, Auster M, Gong G. Imaging and surgical findings of spinal epidural abscess caused by direct intraspinal spread of paraspinal infection: Correlation with spinal pneumorrhachis and its clinical implication. Radiology of Infectious Diseases 2018;5(1):41-5.
  • 8. Pulle MV, Puri HV, Asaf BB, Kumar A. Two rare complications in a single patient of lung cancer: Radiation-induced spontaneous esophageal perforation and aortic rupture and their successful management. Ann Thorac Med. 2019;14(3):213-5.
  • 9. Rigamonti D, Liem L, Sampath P, Knoller N, Numaguchi Y, Schreibman DL, vd. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surgical Neurology 1999;52(2):189-97.
  • 10. Tang H-J, Lin H-J, Liu Y-C, Li C-M. Spinal Epidural Abscess—Experience with 46 Patients and Evaluation of Prognostic Factors. Journal of Infection 2002;45(2):76-81.
Year 2021, , 76 - 78, 18.08.2021
https://doi.org/10.33706/jemcr.875643

Abstract

References

  • 1. Reihsaus E, Waldbaur H, Seeling W Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurgical review 2000;23(4):175-204.
  • 2. Vakili M, Crum-Cianflone, NF Spinal epidural abscess: a series of 101 cases. The American journal of medicine 2017;130(12):1458-1463.
  • 3. Bond A, Manian FA. Spinal Epidural Abscess: A Review with Special Emphasis on Earlier Diagnosis. BioMed Research International 2016;1-6.
  • 4. Baron RD, Pal D, Crimmins DW, Dexter SPL. Spinal Epidural Abscess Presenting with Paraplegia Following Delayed Presentation of Traumatic Esophageal Perforation without Spinal Fracture: Lessons to be Learnt. Eur J Trauma 2010;36(3):247-9.
  • 5. Ghobrial GM, Beygi S, Viereck MJ, Maulucci CM, Sharan A, Heller J, Timing in the surgical evacuation of spinal epidural abscesses. FOC 2014;37(2):E1.
  • 6. Lu C-H, Chang W-N, Lui C-C, Lee P-Y, Chang H-W. Adult spinal epidural abscess: clinical features and prognostic factors. Clinical Neurology and Neurosurgery 2002;104(4):306-10.
  • 7. Wang H, Tan B, Auster M, Gong G. Imaging and surgical findings of spinal epidural abscess caused by direct intraspinal spread of paraspinal infection: Correlation with spinal pneumorrhachis and its clinical implication. Radiology of Infectious Diseases 2018;5(1):41-5.
  • 8. Pulle MV, Puri HV, Asaf BB, Kumar A. Two rare complications in a single patient of lung cancer: Radiation-induced spontaneous esophageal perforation and aortic rupture and their successful management. Ann Thorac Med. 2019;14(3):213-5.
  • 9. Rigamonti D, Liem L, Sampath P, Knoller N, Numaguchi Y, Schreibman DL, vd. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surgical Neurology 1999;52(2):189-97.
  • 10. Tang H-J, Lin H-J, Liu Y-C, Li C-M. Spinal Epidural Abscess—Experience with 46 Patients and Evaluation of Prognostic Factors. Journal of Infection 2002;45(2):76-81.
There are 10 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Gizem Meral Atiş This is me 0000-0001-9327-899X

Tamer Altay This is me 0000-0002-3594-3661

Şeref Emre Atiş 0000-0002-5094-6000

Publication Date August 18, 2021
Submission Date February 14, 2021
Published in Issue Year 2021

Cite

APA Meral Atiş, G., Altay, T., & Atiş, Ş. E. (2021). A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy. Journal of Emergency Medicine Case Reports, 12(3), 76-78. https://doi.org/10.33706/jemcr.875643
AMA Meral Atiş G, Altay T, Atiş ŞE. A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy. Journal of Emergency Medicine Case Reports. August 2021;12(3):76-78. doi:10.33706/jemcr.875643
Chicago Meral Atiş, Gizem, Tamer Altay, and Şeref Emre Atiş. “A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy”. Journal of Emergency Medicine Case Reports 12, no. 3 (August 2021): 76-78. https://doi.org/10.33706/jemcr.875643.
EndNote Meral Atiş G, Altay T, Atiş ŞE (August 1, 2021) A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy. Journal of Emergency Medicine Case Reports 12 3 76–78.
IEEE G. Meral Atiş, T. Altay, and Ş. E. Atiş, “A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy”, Journal of Emergency Medicine Case Reports, vol. 12, no. 3, pp. 76–78, 2021, doi: 10.33706/jemcr.875643.
ISNAD Meral Atiş, Gizem et al. “A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy”. Journal of Emergency Medicine Case Reports 12/3 (August 2021), 76-78. https://doi.org/10.33706/jemcr.875643.
JAMA Meral Atiş G, Altay T, Atiş ŞE. A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy. Journal of Emergency Medicine Case Reports. 2021;12:76–78.
MLA Meral Atiş, Gizem et al. “A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy”. Journal of Emergency Medicine Case Reports, vol. 12, no. 3, 2021, pp. 76-78, doi:10.33706/jemcr.875643.
Vancouver Meral Atiş G, Altay T, Atiş ŞE. A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy. Journal of Emergency Medicine Case Reports. 2021;12(3):76-8.