Abstract
A 24-year-old quadriplegic (auto accident) male presented with dysphagia, odynophagia, neck pain, fevers and chills of 4 weeks duration. CT scan showed a cervical para-spinal abscess with a fistulous communication with the esophagus. Neck exploration with abscess drainage and cervical plate removal was performed. Despite two surgical attempts, a persistent defect was present on esophagram. Further surgical intervention was deemed impossible due to infection. Patient was stabilized with conservative management. Two months later, while on G-tube feedings, the patient was referred to GI for any possible intervention so as to allow peroral intake.
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