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Erschienen in:
06.04.2018 | Dysphagie | Clinical Conundrum
Unexpected Late Complication Causing Dysphagia
Erschienen in: Dysphagia | Ausgabe 4/2018
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A 65-year-old man presented to our outpatient clinic with a 6-month history of dysphagia, cough and neck pain. Dysphagia was non-selective for liquids or solid foods with an accompanying neck pain at all times. The cough was non-productive and he reported tobacco and alcohol consumption for 40 years. He did not report weight loss or other constitutional symptoms. His past medical history was uneventful, except for a cervical disc hernia operation performed 17 years ago. Physical examination of the patient did not show any positive findings. Endoscopic examination showed a smooth surfaced mucosal lesion on the posterior pharyngeal wall (Fig. 1). The structure and mobility of the vocal folds and other laryngeal parts were normal. A cervical computed tomography (CT) was performed (Fig. 2).
Fig. 1
Endoscopic examination. Lesion with smooth surface on posterior pharyngeal wall
Fig. 2
Axial cervical CT image (a), sagittal reformatted image (b) and 3D volume rendered image (c) show protrusion of the upper screw into the posterior pharyngeal wall
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