Year: 2017
Type: article
Study design: Observational Study
Abstract: Background: Descending Necrotizing Mediastinitis (DNMs) are rare and are serious infections with a high mortality rate which complicates from pharyngeal, odontogenic infection or esophageal perforation. Early recognition and treatment are essential in order to minimize morbidity and mortality. Evaluation with imaging diagnosis, especially with computed tomography is necessary to confirm the diagnosis, and facilitate surgical planning. It is an important diagnostic method showing widened mediastinum, air-fluid level in mediastinum and subcutaneous crackling. Estrera’s criterias could be implemented for diagnosis of DNMs. We present one serie of 19 cases diagnosed with DNMs, with characteristic imaging findings. From this study we found that most of DNMs in Vietnam are commonly caused by esophageal perforation and we recommend to perform fibro-gastroendoscopy associated with CT for purposes of diagnosis and intervention. It also helps to locate the esophageal perforation.
Source: The Thai Journal of Surgery
Institutions: Viet Duc Hospital, Helios Endo-Klinik Hamburg
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7220186697