Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2021; 9(7): 1639-1645
Published online Mar 6, 2021. doi: 10.12998/wjcc.v9.i7.1639
Dysphagia in a patient with ankylosing spondylitis: A case report
Xin-Wen Wang, Wen-Zhi Zhang
Xin-Wen Wang, Department of Orthopedics, Provincial Hospital Affiliated to Anhui Medical University, Hefei 230001, Anhui Province, China
Wen-Zhi Zhang, Spine Center, Department of Orthopedics, Provincial Hospital Affiliated to Anhui Medical University, Hefei 230001, Anhui Province, China
Author contributions: Wang XW and Zhang WZ contributed equally to this work; Wang XW designed the research study, analyzed the data, and wrote the manuscript; Zhang WZ revised the manuscript; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Zhi Zhang, MM, Professor, Spine Center, Department of Orthopedics, Provincial Hospital Affiliated to Anhui Medical University, No. 17 Lujiang Road, Hefei 230001, Anhui Province, China. wenzhizhang@ustc.edu.cn
Received: July 31, 2020
Peer-review started: July 31, 2020
First decision: December 14, 2020
Revised: December 16, 2020
Accepted: January 20, 2021
Article in press: January 20, 2021
Published online: March 6, 2021
Abstract
BACKGROUND

Ankylosing spondylitis (AS) is a systematic and rheumatic disease, which causes multiple symptoms. However, dysphagia due to the formation of a giant anterior cervical osteophyte is rare in patients with AS.

CASE SUMMARY

We present the case of a 65-year-old male patient who was diagnosed with AS and visited the hospital with a complaint of progressive dysphagia. The appropriate imaging examinations indicated that a giant anterior cervical osteo-phyte at C3-4 caused esophageal compression, which led to dysphagia. An operation for resection was performed without complications.

CONCLUSION

This case demonstrates that a large cervical osteophyte may be the cause of dysphagia in patients with AS, and early accurate diagnosis and surgical treat-ment are very important for the improvement of symptoms. Anterior cervical discectomy and fusion are extremely effective and should be taken into consideration.

Keywords: Ankylosing spondylitis, Dysphagia, Giant osteophyte, Cervical spine, Anterior cervical discectomy and fusion, Case report

Core Tip: Ankylosing spondylitis (AS) is a systematic and rheumatic disease, which causes multiple symptoms. However, dysphagia is rare in patients with AS. We present the case of a 65-year-old male patient who was diagnosed with AS and visited the hospital with a complaint of progressive dysphagia. The appropriate imaging examinations indicated that a giant anterior cervical osteophyte at C3-4 caused esophageal compression, which led to dysphagia. An operation called anterior cervical discectomy and fusion was performed without complications. This case demonstrates that early accurate diagnosis and surgical treatment are very important for the improvement of symptoms.