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- Dale C Ekbom, Joanna D-Elia, Brandon Isaacson, Frank Lamarca, Douglas B Chepeha, and Carol R Bradford.
- Department of Otolaryngology, University of Michigan Medical Center, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA. dekbom@med.umich.edu
- Head Neck. 2005 Jun 1; 27 (6): 543-8.
BackgroundEsophageal perforation is an uncommon but known complication of esophageal dilation. Abscess after esophageal tear is rare, especially in the spinal epidural space. This is one case report of such an abscess.MethodsWe present a case of a spinal epidural abscess after cervical pharyngoesophageal dilation.ResultsAfter surgical decompression and abscess drainage, long-term intravenous antibiotics, and physical therapy, the patient has regained some functional use of her left upper extremity.ConclusionsEarly diagnosis with a gadolinium-enhanced MRI and aggressive surgical treatment are keys to successful management with a good functional outcome after this unfortunate complication.(c) 2005 Wiley Periodicals, Inc.
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