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Deep Neck Infection Complicated by Phlegmonous Esophagitis and Mediastinitis
Yuichi Saito1, Momoko Asami1, Atsushi Miki2
1Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Abstract:
Descending necrotizing mediastinitis is a life-threatening disease that extends into the pretracheal, perivascular, retrovisceral, and/or prevertebral spaces, generally sparing the esophagus. We report a case of deep neck abscess complicated by phlegmonous esophagitis and mediastinitis. The patient was successfully treated with antibiotics and surgery, combining transcervical and bilateral thoracoscopic transthoracic mediastinal drainage. However, a pseudo-lumen with a large amount of pus remained in the esophagus. The septum between the true and the pseudo-lumen was cut endoscopically, after which the patient recovered well without any complications.
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