case_images: PMC4023006_01
case_images: Esophageal barium exam. Leak of iodinated contrast few days after the surgery
case_images: SNI-5-126-g002.jpg
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case_images: F1
case_images: However, an esophageal barium swallow documented a leak of iodinated contrast involving the lower peripharyngeal area [Figure 1].
case_images: Cervical CT. Abscess-like mass on cervical CT shifting the trachea. Documented after 3 weeks under antibiotic endovenous therapy and nasogastric tube placement
case_images: SNI-5-126-g003.jpg
case_images: PMC4023006_01_SNI-5-126-g003.jpg
case_images: F2
case_images: The cervical spine computed tomography (CT) scan showed an abscess-like mass shifting the trachea in the posterior aspect of the piriform sinus [Figure 2].
case_images: PMC4023006_02
case_images: Visual exam. Metallic foreign body in the oropharynx 4 years after the surgery
case_images: SNI-5-126-g004.jpg
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case_images: F3
case_images: Four years after the surgery, he was referred by ENT due to the recent onset of dysphagia and visualization of a metallic foreign body in the oropharynx on the visual exam and fiberoptic laryngoscopy [Figures 3 and 4].
case_images: Endoscopy exam. Metallic foreign body in the oropharynx
case_images: SNI-5-126-g005.jpg
case_images: PMC4023006_02_SNI-5-126-g005.jpg
case_images: F4
case_images: Four years after the surgery, he was referred by ENT due to the recent onset of dysphagia and visualization of a metallic foreign body in the oropharynx on the visual exam and fiberoptic laryngoscopy [Figures 3 and 4].
case_images: CT exam. Posterior wall of the pharynx perforation
case_images: SNI-5-126-g006.jpg
case_images: PMC4023006_02_SNI-5-126-g006.jpg
case_images: F5
case_images: The plate had perforated the posterior wall of the pharynx and was removed utilizing a routine anterolateral cervical approach (e.g. a transoral approach was not chosen, as the lesion was too caudal) [Figure 5].
case_images: PMC4023006_03
case_images: Postsurgical urgent cervical CT. Prevertebral hematoma with left tracheal shift
case_images: SNI-5-126-g007.jpg
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case_images: F6
case_images: The cervical CT showed an acute prevertebral hematoma from C1 to C7, with left tracheal shift [Figure 6].
case_images: Second postsurgical urgent cervical CT. Recurring prevertebral hematoma
case_images: SNI-5-126-g008.jpg
case_images: PMC4023006_03_SNI-5-126-g008.jpg
case_images: F7
case_images: Six days later, several hours after removal of the tracheotomy, the patient again deteriorated from a recurrent hematoma CT-documented [Figure 7].