Dysphagia due to a cervical osteophyte: a case report

Yıl 2003, Cilt: 10 Sayı: 6, 240 - 243, 24.12.2003

Sündüs Gencay Haluk Yavuz Cüneyt Yılmazer

Öz

Cervical osteophytes and other hypertrophic changes of the cervical spine may lead to dysphagia, odynophagia, otalgia, and sensation of a foreign body in the throat when they protrude from the anterior edge of the cervi­cal vertebrae to the pharynx or upper esophagus. A fifty- three-year-old male patient presented with a complaint of dysphagia. Physical examination showed no abnormality. Barium esophagography revealed osteophytic spurs in the anterior aspect of C4-5 vertebrae, in close approximation to the inlet of esophagus, obstructing the esophagus passage by external compression. Anti- inflammatory therapy administered for three weeks did not provide relief of the patient’s complaint. Surgical treatment recommended was refused by the patient.

Anahtar Kelimeler

Cervical vertebrae/radiography, deglutition disorders/etiology/radiography, spinal osteophytosis/complications/radiography, tomography, X-ray

Servikal osteofite bağlı disfaji: Olgu sunumu

Öz

Servikal osteofit ve servikal bölgedeki diğer hipertro- fik değifliklikler, servikal vertebranın ön kenarından farenkse ve üst özofagusa doğru büyüme gösterdik- lerinde disfaji, odinofaji, otalji ve boğazda yabancı ci- sim hissi gibi semptomlara neden olabilirler. Kliniği- mize disfaji flikayeti ile baflvuran 53 yaflındaki erkek hastanın fizik muayenesinde herhangi bir lezyon gö- rülmedi. Baryumlu özofagogramda, servikal 4-5 ver- tebra anteriorunda, yaklaflık olarak özofagus girifl kısmına denk gelen bölgede, özofagus pasajını da- raltan osteofitik lezyon belirlendi. Uygulanan üç haf- talık anti-enflamatuvar tedavi sonrası flikayetlerin düzelmemesi üzerine hastaya cerrahi tedavi öneril- di; ancak hasta cerrahi tedaviyi kabul etmedi

Anahtar Kelimeler

Servikal vertebra/radyografi, yutmabozuklukları/etyoloji/radyografi, spinal osteofit/komplikasyon/radyografi, bilgisayarlı tomografi

Kaynakça

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