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Updated: Apr 19, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[Oesophageal perforation of osteosynthesis material after anterior cervical surgery]
Julie Therese Wiis1, Henrietta Carolina Nittby, Anne Oberg Lauritsen
1Letlandsgade 7, 3. th., 1723 København V. juliewiis@hotmail.com.
Abstract:
The rare, potentially life-threatening complication to anterior cervical surgery, oesophageal perforation, occurs after surgical trauma or due to erosion by migrating hardware. Symptoms are hoarseness, dysphagia, neck/throat pain, subcutaneous emphysema and fever. Imaging and endoscopic diagnosis can give false negative results. We present a case of a 74-year-old male, who was readmitted with sepsis and abscess in the operation area three weeks after anterior cervical surgery. Veillonella parvula was found in the abscess material and computed tomography confirmed the diagnosis of oesophageal perforation.
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