Descending Necrotising Mediastinitis, A Fatal Disease to Keep in Mind - 11/08/11
, Moaath Al Smady, MD a, Haitham Qasem, MD a, Raed Ennab, MD a, Nader Al Bsoul, MD b
Corresponding author at: Department of Surgery, Division of Cardiothoracic Surgery, University of Jordan, Faculty of Medicine, P.O Box 13857, Amman 11942, Jordan.Résumé |
Descending necrotising mediastinitis, a term used by Estrera (1983) [1], is a rare and serious disease requiring prompt diagnosis and immediate aggressive surgical therapy. It should be considered in the differential diagnosis of acute mediastinal widening. We report an unusual case of primary retropharyngeal abscess complicated by descending necrotising mediastinitis and bilateral empyema in a 56-year-old diabetic man. The diagnosis of descending necrotising mediastinitis (DNM) was established by the characteristic findings on computed tomography. The patient was treated by cervicotomy and staged bilateral posterolateral thoracotomy.
Le texte complet de cet article est disponible en PDF.Keywords : Diabetic complications, Empyema, Retropharyngeal abscess, CT (computed tomography scan)
Plan
Vol 19 - N° 4
P. 254-256 - avril 2010 Retour au numéro
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