Rare complication after thyroidectomy-cervical esophageal stenosis: A case report and literature review

Hanwei Peng, Steven J. Wang, Weixiong Li

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not been reported in the literature to date. We report a case of esophageal stenosis following thyroidectomy performed at a peripheral hospital. The patient initially underwent a thyroidectomy for papillary thyroid carcinoma involving the cervical esophagus; esophageal perforation was noted intraoperatively, and closed using three number 4 silk sutures. Cervical esophageal stenosis subsequently developed after conservative care. The patient was successfully treated with cervical esophagectomy and reconstruction using a tubed forearm free flap after a failed attempt at endoscopic recanalization. This case is discussed in conjunction with a review of the literature.

Original languageEnglish (US)
Article number308
JournalWorld Journal of Surgical Oncology
Volume12
Issue number1
DOIs
StatePublished - 2014
Externally publishedYes

Keywords

  • Cervical esophageal perforation
  • Cervical esophageal stenosis
  • Reconstructive surgery
  • Thyroid carcinoma
  • Thyroidectomy
  • Tubed forearm free flap

ASJC Scopus subject areas

  • Surgery
  • Oncology

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