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Treatment of intractable orofacial infection: Case reports

Kang DW, Yun PY, Kim YK

In severe cases, intractable infections in the orofacial area can lead to breathing difficulties due to closed airway, mediastinitis, and spread of infection along the blood vessels. Moreover, these conditions...
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A case of intra-abdominal abscess caused by unconsciously ingestion of fish bone in elderly patient

Kim BR, Kim HJ, Hahm JR, Ha CY, Jung WT, Lee OJ

Cases showing complications such as esophageal injury, deep neck infection, and mediastinitis caused by accidental ingestion of fish bone are common. But ingestion of fish bone rarely causes perforation of...
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Initial Nutritional Status and Clinical Outcomes in Patients With Deep Neck Infection

Park MJ, Kim JW, Kim Y, Lee YS, Roh JL, Choi SH, Kim SY, Nam SY

OBJECTIVES: The current study aims to determine the correlation between nutritional status upon presentation and disease severity, as well as treatment and survival outcomes. METHODS: Patients who were diagnosed with deep...
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Fibrosing Mediastinitis: a Rare Cause of Unilateral Absent Lung Perfusion on a V/Q Scan

Goldbach A, Pascarella S, Dadpravarar S

We report a case of a 29-year-old female with a history of asthma, post-partumARDS, and pulmonary hypertension who presents with severe shortness of breath. The patient describes her shortness of...
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Esophageal Foreign Body: Treatment and Complications

Boo SJ, Kim HU

The most common cause of esophageal foreign bodies in adults is meat in Western countries and fish bones in Asian countries, including Korea. Although most ingested foreign bodies pass spontaneously...
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Acute Phlegmonous Esophagitis with Mediastinitis Complicated by an Esophageal Perforation: A Case Report

Shin HS, Kim SS, Kim JH

Phlegmonous esophagitis, a rare and life-threatening disorder, is characterized by bacterial infection of the submucosal and muscularis layers of the esophagus. Herein we report a case of acute phlegmonous esophagitis...
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Esophageal Rupture Due to Diving in Shallow Waters

Han SH, Chon SH, Lee JH, Lee MK, Kwon OS, Kim KH, Kim JS, Lee HH, Chon JR

Delayed esophageal rupture due to blunt injury is not new. However, rupture due to suspected barotrauma is very rare. We describe a case of esophageal rupture in a male 24-year-old...
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Internal Drainage of an Esophageal Perforation in a Patient with a High Surgical Risk

Kim H, Kim Y, Cho JH, Min YW

A 71-year-old man presented with a productive cough and fever, and he was diagnosed as having an esophageal perforation and a mediastinal abscess. He had a history of traumatic hemothorax...
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Descending necrotizing mediastinitis after a trigger point injection

Choe JY, Kim JK, Lee DE, Seo KS, Park JB, Lee MJ, Ryoo HW, Ahn JY, Moon S

Descending necrotizing mediastinitis (DNM) is a rare form of mediastinal infection. Most cases are associated with esophageal rupture. DNM after a trigger point injection in the upper trapezius has not...
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Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application

Kim B, Kim J, Kim HS, Song CM, Pai H

Deep neck infection is a surgical emergency that can result in life threatening complications such as airway obstruction, aspiration, thrombosis of major vessels and mediastinitis by spread of infection along...
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Risks of transesophageal endoscopic ultrasonography-guided biliary drainage

Okuno N, Hara K, Mizuno N, Hijioka S, Kuwahara T, Tajika M, Tanaka T, Ishihara M, Hirayama Y, Onishi S, Niwa Y

SUMMARY OF EVENT: Pneumoderma, mediastinal emphysema, and bilateral pneumothorax were developed in the patient who had undergone transesophageal endoscopic ultrasonography-guided rendezvous technique. Chest drainage was performed immediately. TEACHING POINT: Transesophageal approach...
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Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis

Chong BK, Yun JK, Kim JB, Park DH

The formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the...
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Spontaneous Retropharyngeal and Mediastinal Emphysema

Cho DY, Aaron GP, Shepard KG

A 14-year-old girl with no significant medical history presented at Emergency Department with sore throat and odynophagia after one episode of nonviolent coughing. She denied any respiratory distress, voice change,...
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Localized Fibrosing Mediastinitis Causing Pulmonary Infarction: A Case Report

Sur YK, Kim EY, Kang DK, Park KJ, Koh YW, Sun JS

A 44-year-old female patient visited our emergency room for hemoptysis and refractory chest wall pain of 2 months duration. She had no history of smoking or other medical conditions. Chest...
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A Case of Nocardia farcinica Pneumonia and Mediastinitis in an Immunocompetent Patient

Kim J, Kang M, Kim J, Jung S, Park J, Lee D, Yoon H

Nocardia species are aerobic, gram-positive pathogens found worldwide in soil. Nocardia is considered an opportunistic pathogen, and its infection mostly occurs in immunocompromised patients. We report a case of Nocardia...
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A Case of Retropharyngeal Abscess Treated by Vacuum-Assisted Closure Application

Park KH, Park A, Yoo YS, Chung ES

The incidence of retropharyngeal abscess has been decreased with the use of antibiotics, but it can cause critical complications such as airway obstruction, aspiration pneumonia, disseminated intravascular coagulation, mediastinitis, or...
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Extracorporeal Membrane Oxygenation for 67 Days as a Bridge to Heart Transplantation in a Postcardiotomy Patient with Failing Heart and Mediastinitis

Chang HW, Cho YH, Cho S, Sung K, Park PW

We report a case of successful heart transplantation after 67 days of support with venoarterial extracorporeal membrane oxygenation (ECMO) in a patient who underwent surgery for type A aortic dissection...
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A Novel Mediastinal Drainage Tube for Mediastinitis

Yhang JH, Jang IS, Kim SH, Park HH, Kang DH, Choi JY

Mediastinitis is a life-threatening disease, and effective drainage is needed to treat mediastinitis with abscess formation. We recommend an alternative drainage method using chest tube binding with a Silastic Penrose...
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Multifilament Cable Wire versus Conventional Wire for Sternal Closure in Patients Undergoing Major Cardiac Surgery

Oh YN, Ha KJ, Kim JB, Jung SH, Choo SJ, Chung CH, Lee JW

BACKGROUND: Stainless steel wiring remains the most popular technique for primary sternal closure. Recently, a multifilament cable wiring system (Pioneer Surgical Technology Inc., Marquette, MI, USA) was introduced for sternal...
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Therapeutic Outcomes of Pectoralis Major Muscle Turnover Flap in Mediastinitis

Bagheri R, Tashnizi M, Haghi SZ, Salehi M, Rajabnejad A, Safa MH, Vejdani M

BACKGROUND: This study aimed to evaluate the therapeutic results and safety of pectoralis major muscle turnover flaps in the treatment of mediastinitis after coronary artery bypass grafting (CABG) procedures. METHODS: Data...
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