Dysphagia secondary to invasive candidiasis of a jejunal free flap.
The presence of a mass in a jejunal free flap that causes dysphagia less than two years after a pharyngolaryngectomy for carcinoma usually indicates tumour recurrence. We present a case of invasive candidiasis of a jejunal free flap presenting with dysphagia and a mass. To our knowledge this is previously unreported. Such a cause should always be considered in the differential diagnosis, as early recognition and treatment are likely to result in a favourable outcome.
Ayshford
C A
CA
Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK.
Walsh
R M
RM
Watkinson
J C
JC
D000368:Aged; D002177:Candidiasis / Q000150:complications* / Q000000981:diagnostic imaging; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000382:microbiology*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D007831:Larynx, Artificial; D010610:Pharyngeal Neoplasms / Q000601:surgery; D010611:Pharyngectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000382:microbiology*; D016459:Prosthesis-Related Infections / Q000382:microbiology; D011859:Radiography; D013524:Surgical Flaps