A case of brain abscess as complication of esophageal dilation for caustic stenosis.
The authors report a case of a two-year-old child with esophageal stricture -- caused first by caustic ingestion and by the end-to-end anastomosis, performed after the excision of the stenotic esophageal segment-- that required repeated dilations. These manouvres unfortunately led to bacteremia and a serious complication of a brain abscess, in the right fronto-parietal area, that was promptly removed. A few months later the child was subjected to an esophageal substitution with a colonic transposition. At present he is in good condition and the follow-up showed normal function of the neo-esophagus.
Appignani
A
A
Department of Pediatric Surgery, Bologna University, Italy.
Trizzino
V
V
D000714:Anastomosis, Surgical; D016470:Bacteremia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002057:Burns, Chemical / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D004106:Dilatation; D004940:Esophageal Stenosis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed