Document Detail

Chronic sinusitis and bilateral deafness as a presentation of oesophageal stent failure: case report.
MedLine Citation:
PMID:  18452639     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We report an extremely rare upper airway complication of oesophageal stent failure. CASE REPORT: A 58-year-old woman presented four months after having a covered (anti-reflux valve type) oesophageal stent placed for a benign oesophageal stricture. Abdominal radiography showed a broken fragment at the gastroesophageal junction and another fragment in the rectum. On presentation, the patient had pneumonia with sepsis which required intensive care management. After recovery, she developed sinus symptoms of facial pain, green nasal discharge and bilateral hearing loss. ENT review revealed bilateral otitis media with effusion. Flexible naso-endoscopy found a stent fragment lodged in the nasopharynx. The wire mesh fragment was removed under general anaesthetic and bilateral grommets inserted. The patient's symptoms resolved. CONCLUSIONS: To our knowledge, this is the first report in the world literature of a broken and migrated oesophageal stent presenting with chronic sinusitis and bilateral hearing loss. This case highlights the importance of examining the upper airways in such cases, and the need for further, long term studies of the complications of metallic, expandable stents.
S Al-Zahid; J Clarke; C Roberts
Related Documents :
9766369 - Primary pneumococcal peritonitis complicated by exudative pleural effusion in an adoles...
18274789 - Sacral fractures after multi-segmental lumbosacral fusion: a series of four cases and s...
18018389 - Anatomy of sodium hypochlorite accidents.
12971529 - Clinical presentation and medical complication in 59 cases of laboratory-confirmed lept...
9792599 - Perforation of the right ventricle: a complication of blind placement of a chest tube i...
23204669 - Metastasis of primary testicular leiomyosarcoma to the retroperitoneal space.
10622099 - Second carpometacarpal joint dislocation: an impossible situation?
3939749 - Pathologic myoclonus of the newborn: electrographic and clinical correlations.
8629329 - Feline tuberculosis: a literature review and discussion of 19 cases caused by an unusua...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-01
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  123     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-08-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  471-4     Citation Subset:  AIM; IM    
Ear, Nose, and Throat Dept., Princess of Wales Hospital, Bridgend, Wales, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Chronic Disease
Deafness / etiology*
Equipment Failure
Esophageal Stenosis / surgery*
Middle Aged
Postoperative Complications / etiology*
Sinusitis / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Oesophageal perforation following ingestion of over-the-counter ibuprofen capsules.
Next Document:  The second World Cancer Research Fund/American Institute for Cancer Research expert report. Food, nu...