A Rare Complication of Esophageal Stent: Spinal Epidural Abscess

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A Rare Complication of Esophageal Stent: Spinal Epidural Abscess Chia-Ying Li, MD, Wei-Chou Chen, MD, Shih-Hung Yang, MD, Yung-Chie Lee, MD, PhD The Annals of Thoracic Surgery Volume 88, Issue 5, Pages 1700-1702 (November 2009) DOI: 10.1016/j.athoracsur.2009.02.079 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Sagittal contrast-enhanced T1 magnetic resonance image of neck showing diffusely increased signal intensity at the esophageal wall (white arrow) and vertebral bodies at C7 to T4 (white dotted arrow), which means an inflammatory change. Epidural collection with rim enhancement is evident on the dorsal aspect of T1 to T6, which is due to epidural abscess (black arrow). The Annals of Thoracic Surgery 2009 88, 1700-1702DOI: (10.1016/j.athoracsur.2009.02.079) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Axial T2 magnetic resonance image of T3 showing the cervicothoracic cord (white dotted arrow) is compressed and anteriorly displaced by the spinal epidural abscess (black arrow), which may cause the neurologic signs. The esophageal, peri-esophageal tissue (white arrow) and vertebral body show inflammatory change, which supported the impression of this infection from the esophagus. The Annals of Thoracic Surgery 2009 88, 1700-1702DOI: (10.1016/j.athoracsur.2009.02.079) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions