Missed diagnosis of oesophageal perforation in ankylosing spondylitis cervical fracture: Two case reports and literature review

作者：Shengjun Qian, Xueshi Ye, Weishan Chen, Wanli Li · 发表于：Journal of International Medical Research · 年份：2016 · DOI：10.1177/0300060515614230 · 被引用次数：7 · 研究领域：Spinal Fractures and Fixation Techniques、Cervical and Thoracic Myelopathy、Trauma Management and Diagnosis

Oesophageal perforation after blunt injury cervical fracture in patients with ankylosing spondylitis (AS) is rarely reported. The early diagnosis of oesophageal perforation is extremely important. We present two cases of patients with AS who sustained cervical fracture dislocation and spinal cord injury. The ossified sharp fragments caused oesophageal perforation, and the delayed diagnoses had serious consequences. Oesophageal perforation should be suspected in patients with AS and cervical fracture if bone fragments are pressing against the oesophagus and a gas shadow is visible around the fracture site on computed tomography imaging.