Cervical esophageal stenosis: an uncommon complication of thyroidectomy.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
Annals of Medicine and Surgery Pub Date : 2025-04-25 eCollection Date: 2025-06-01 DOI:10.1097/MS9.0000000000003335
Linda Angela Mbah, Sara Tabassum, Tabish Mahmood Khan, Saima Batool, Oluwasayo J Owolabi, Pugazhendi Inban, Carlo Kristian C Carredo, Faiza Arslan, Isioma Isioma Okobia, Mansi Singh
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Abstract

Introduction and importance: Cervical esophageal stenosis is a rare but serious complication following thyroidectomy. It presents with dysphagia and odynophagia, which can mimic common postoperative symptoms, leading to delayed diagnosis. Early recognition is crucial for timely intervention and improving patient outcomes.

Case presentation: A 64-year-old female with papillary thyroid carcinoma (PTC) underwent total thyroidectomy. Intraoperatively, an iatrogenic esophageal injury was sutured. Postoperatively, she developed dysphagia, dyspnea, and neck swelling. Imaging revealed cervical esophageal stenosis, and despite initial management with a nasogastric tube and gastrostomy tube, her dysphagia persisted. A corrective partial cervical esophagectomy was performed, and the patient recovered uneventfully, resuming oral intake after 6 days.

Clinical discussion: Cervical esophageal stenosis can result from surgical trauma or inflammation during thyroidectomy, particularly in patients with PTC. Early imaging and clinical assessment are key for diagnosis. Severe stenosis may require surgical correction, such as esophagectomy, when endoscopic dilation is not sufficient.

Conclusion: Cervical esophageal stenosis should be considered in patients with post-thyroidectomy dysphagia. Prompt diagnosis and intervention, including surgery when necessary, can prevent long-term complications and improve quality of life.

宫颈食管狭窄:甲状腺切除术中一种罕见的并发症。
宫颈食管狭窄是甲状腺切除术后罕见但严重的并发症。它表现为吞咽困难和吞咽困难,可模仿常见的术后症状,导致诊断延迟。早期识别对于及时干预和改善患者预后至关重要。病例介绍:一例64岁女性甲状腺乳头状癌(PTC)行甲状腺全切除术。术中缝合一例医源性食管损伤。术后出现吞咽困难、呼吸困难和颈部肿胀。影像学显示颈部食管狭窄,尽管最初使用鼻胃管和胃造口管进行治疗,但她的吞咽困难仍然存在。行矫正性部分颈食管切除术,患者顺利康复,6天后恢复口服。临床讨论:颈食管狭窄可由手术创伤或甲状腺切除术中的炎症引起,尤其是PTC患者。早期影像学和临床评估是诊断的关键。严重的狭窄可能需要手术矫正,如食管切除术,当内镜扩张不够。结论:甲状腺术后吞咽困难患者应考虑颈段食管狭窄。及时诊断和干预,包括必要时的手术,可以预防长期并发症并改善生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Medicine and Surgery
Annals of Medicine and Surgery MEDICINE, GENERAL & INTERNAL-
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5.90%
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