Self-expanding oesophageal metallic stent related spinal infection – A difficult case with literature review

Abstract

Pyogenic Spondylodiscitis is a common affliction of the spine in which microorganism can spread by either direct or indirect route destroys the disc and vertebral end plates. Contiguous spread from nearby structures like mediastinum, oesophagus, intestines, penetrating injuries are well known. We report one such case where Self-expanding metallic [SEM] stenting done for Boerhaave syndrome lead on to T3-4 Spondylodiscitis with pathological fracture resulting in acute paraplegia as a complication. Spinal complications related to oesophageal stents are rarely reported in literature. We present our experience in managing this catastrophic presentation with a review of literature of similar cases. Keywords: Spondylodiscitis, Self-expanding metallic esophageal stent, Boerhaave syndrome