case_images: PMC8202369_01
case_images: Clinical photograph revealing sprouting granulation tissue at the opening of the fistula located in the left suprasternal area
case_images: AJNS-16-196-g001.jpg
case_images: PMC8202369_01_AJNS-16-196-g001.jpg
case_images: F1
case_images: One month postsurgery, he developed a fistula in the neck which started discharging consumed food and liquids [Figure 1].
case_images: Anteroposterior and lateral radiograph of the cervical spine revealing loose anterior cervical plate extending from C5 to C7 vertebra. Furthermore, the locking screw can be seen abutting the posterior wall of the pharynx
case_images: AJNS-16-196-g002.jpg
case_images: PMC8202369_01_AJNS-16-196-g002.jpg
case_images: F2
case_images: Plain radiographs revealed loosening of the anterior cervical plate with displaced locking screw [Figure 2].
case_images: Gastrointestinal endoscopy report showing screw lodged in the cricopharynx
case_images: AJNS-16-196-g003.jpg
case_images: PMC8202369_01_AJNS-16-196-g003.jpg
case_images: F3
case_images: On GI endoscopy, the presence of a displaced locking screw mechanism was causing internal perforation of the posterior aspect of the cricopharynx [Figure 3].
case_images: Serial radiographs of the abdomen revealing successive passage of the screw through the gastrointestinal tract until finally it could no longer be visualized in the last radiograph
case_images: AJNS-16-196-g004.jpg
case_images: PMC8202369_01_AJNS-16-196-g004.jpg
case_images: F4
case_images: Serial radiographs of the abdomen revealed successive passage of the screw through the gastrointestinal tract (GIT) until finally it could no longer be visualized [Figure 4].
case_images: Latest clinical photograph of the patient showing healing wound and nasogastric intubation
case_images: AJNS-16-196-g005.jpg
case_images: PMC8202369_01_AJNS-16-196-g005.jpg
case_images: F5
case_images: Currently, the original fistula is showing minimal discharge with no contents of food [Figure 5].