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A Rare Case of Ascending Necrotizing Mediastinitis following Perforated Appendicitis: A Case Report

Ju Hun Lee1, Jong Eun Kim2, Soon Ki Min3

  • 1Division of Vascular Surgery, Department of Surgery, Gachon University Gil Medical Center, Incheon, Korea.

Surgical Case Reports
|March 6, 2026
PubMed
Abstract

Insights

Ascending necrotizing mediastinitis (ANM) from appendicitis is rare. This case shows percutaneous catheter drainage (PCD) can successfully treat ANM in stable patients after source control, avoiding extensive surgery.

Area of Science:

  • Infectious Diseases
  • Surgical Pathology
  • Critical Care Medicine

Background:

  • Necrotizing fasciitis (NF) is a severe, rapidly progressing infection with high mortality.
  • Descending necrotizing mediastinitis (DNM) is well-documented, but ascending necrotizing mediastinitis (ANM) from abdominal sources is exceptionally rare.
Keywords:
appendicitismediastinitisnecrotizing fasciitisretroperitoneal infection

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