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A rare sequelae of esophageal perforation: Fibrosing mediastinitis

Jingwen Zhang1, Mingwang Ding1, Aiping Tang1

  • 1The First Clinical Medical College of Gansu University of Chinese Medicine (Gansu Provincial Hospital) Lanzhou China.

Pulmonary Circulation
|January 4, 2024
PubMed

Insights

Fibrosing mediastinitis (FM) is a rare condition. This case highlights esophageal perforation as a previously unrecognized cause of FM, emphasizing the need for timely diagnosis and treatment.

Area of Science:

  • Medical Case Reports
  • Rare Diseases
  • Gastroenterology

Background:

  • Fibrosing mediastinitis (FM) is a rare, progressive condition.
  • Common causes include Tuberculosis and Histoplasma capsulatum infections.
  • Untreated FM has a poor prognosis.

Observation:

  • Esophageal perforation is a rare condition with non-specific symptoms.
  • Esophageal perforation is often under- and mis-diagnosed.
  • This report details a case of FM secondary to esophageal perforation.

Findings:

  • Esophageal perforation can lead to the development of fibrosing mediastinitis.
  • Early recognition of esophageal perforation is crucial in preventing complications like FM.

Implications:

  • This case expands the known etiology of fibrosing mediastinitis.
  • Highlights the importance of considering esophageal perforation in the differential diagnosis of FM.
  • Suggests a need for increased awareness among clinicians regarding this rare association.
Keywords:
esophageal perforationfibrosing mediastinitisforeign bodies

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