CTICasesIatrogenic Esophageal Perforation post-Spine Fusion
Imaging findings
Cervical radiograph and neck CT show a massive retropharyngeal/cervical air-filled collection following a cervical spine fusion procedure, representing an iatrogenic esophageal perforation with a pharyngocutaneous fistula containing contrast.
Key takeaways
Esophageal perforation is a rare but severe complication of anterior cervical spine surgery. It can present with retropharyngeal gas, neck pain, and dysphagia, requiring prompt recognition, drainage, and surgical repair.
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