Korean J Thorac Cardiovasc Surg.
2002 Nov;35(11):842-846.
Acute Descending Necrotizing Mediastinitis Secondary to Spontaneous Rupture of Hypopharynx: A Case Report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, St. Vincent Hospital, College of Medicine, The Catholic University of Korea. kyudockd@vincent.cuk.ac.kr
- 2Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea.
- 3Department of Thoracic and Cardiovascular Surgery, Kangnam St. Mary's Hospital, College of Medicine, The Catholic University of Korea.
Abstract
- A rare case of acute descending necrotizing mediastinitis(DNM) secondary to spontaneous rupture of hypopharynx is reported. Due to the right lower cervical abscess the patient had undertaken limited right anterior cervical drainage at other department. After transferring to our department he undertook combined wide cervical mediastinal drainage and mediastinal drainage via right thoracotomy. However mediastinal drainage was ineffective. So the second operation was performed and chest tubes were relocated. He had an uneventful postoperative course. As far as the cause of acute descending necrotizing mediastinitis was concerned, we couldn't find any literature in Korean or English except one case that dealt with spontaneous rupture of the hypopharynx.
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