Code Stroke Postendoscopy: A Case of Pneumocephalus From a Spinal-Esophageal Fistula

Andrew Fetz; Farhad Ghaseminejad; Hyun Jae Kim; S Ian Gan

doi:10.14309/crj.0000000000001057

Code Stroke Postendoscopy: A Case of Pneumocephalus From a Spinal-Esophageal Fistula

ACG Case Rep J. 2023 Jun 8;10(6):e01057. doi: 10.14309/crj.0000000000001057. eCollection 2023 Jun.

Authors

Andrew Fetz¹, Farhad Ghaseminejad², Hyun Jae Kim¹, S Ian Gan¹

Affiliations

¹ Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
² Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

Esophageal fistula to the respiratory tract and mediastinum is a well-described complication from esophageal malignancies. Spinal-esophageal fistula (SEF) on the other hand is a much rarer complication that has only been reported in few instances. Here, we report a unique case of fatal spinal-esophageal fistula with an associated pneumocephalus in an 83-year-old woman with metastatic esophageal squamous cell carcinoma.

Keywords: esophageal squamous cell carcinoma; pneumocephalus; spinal-esophageal fistula; stent.

Publication types

Case Reports