5,291 results match your criteria Mediastinitis


IgG4-associated fibrosing mediastinitis requiring differentiation from posterior mediastinal tumour: A case report.

Respirol Case Rep 2022 Jun 9;10(6):e0958. Epub 2022 May 9.

Department of Thoracic and Cardiovascular Surgery Wakayama Medical University Wakayama Japan.

A 71-year-old man, who was found to have a posterior mediastinal tumour, was referred to our hospital. Contrast-enhanced computed tomography (CT) showed a 15-cm soft tissue shadow in the posterior mediastinum, with many affected areas and a gradually increasing pattern. We also detected oligemic areas with poor contrast-filling. Read More

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Evaluation of clinical parameters affecting the prognosis in surgically treated patients with descending necrotizing mediastinitis - A retrospective study.

J Stomatol Oral Maxillofac Surg 2022 May 14. Epub 2022 May 14.

Clinical Center of Vojvodina, Clinic for Maxillofacial and Oral Surgery, Novi Sad, Serbia; University of Novi Sad, Faculty of medicine, Department for dentistry and maxillofacial surgery, Novi Sad, Serbia.

Objectives: Descending necrotizing mediastinitis (DNM) is the most serious complication of maxillofacial infections followed with high mortality. The objective of this retrospective study was to evaluate possible prognostic clinical factors for survival of patients with DNM based on single center clinical data.

Methods: The study enrolled patients admitted to the Emergency Center of Vojvodina with the diagnosis of DNM either as the primary diagnosis or with discharged diagnosis after surgical treatment during 11-years period. Read More

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[Aspergillus mediastinitis following post-immunotherapy lobectomy for oligometastatic lung].

Rev Mal Respir 2022 May 12. Epub 2022 May 12.

Service de chirurgie thoracique et vasculaire, hôpital Victor-Dupouy, 69, rue du Lieutnant-Colonel Prudhon, 95107 Argenteuil, France. Electronic address:

The relationship between infectious disease and therapy with immune checkpoint inhibitors remains unknown. We report the case of a 50-year-old woman with metastatic lung adenocarcinoma who responded remarkably well to immunotherapy and underwent upper right lobectomy. Three weeks after hospital discharge, she was readmitted for severe dyspnea due to mainstem bronchus compression by mediastinal mass. Read More

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Video-assisted thoracoscopic mediastinotomy for mediastinitis in a patient with azygos lobe.

Asian J Surg 2022 May 11. Epub 2022 May 11.

Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan; School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan; Ph.D. Program in Translational Medicine, National Chung Hsing University, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan; Center for General Education, Ming Dao University, Changhua, Taiwan. Electronic address:

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Mediastinal tuberculosis following descending necrotizing mediastinitis: A case report.

Respirol Case Rep 2022 Jun 1;10(6):e0957. Epub 2022 May 1.

Department of Thoracic Surgery Otsu Red Cross Hospital Nagara, Otsu Shiga Japan.

Tuberculosis is a disease that causes latent infection and is sometimes activated by a variety of factors. Descending necrotizing mediastinitis (DNM) is a serious disease caused by spreading oropharyngeal infection. We present a case of mediastinal tuberculosis following mediastinal dissection and antibiotic therapy for DNM. Read More

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The Modified Sternoplasty: A Novel Surgical Technique for Treating Mediastinitis.

Plast Reconstr Surg Glob Open 2022 Apr 29;10(4):e4233. Epub 2022 Apr 29.

Department of Cardiothoracic Surgery, Assuta Medical Centers, Tel Aviv, Affiliated to the Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel.

Deep sternal wound infection (DSWI) is one of the most complex and devastating complications post cardiac surgery. We present here the modified sternoplasty, a novel surgical technique for treating DSWI post cardiac surgery. The modified sternoplasty includes debridement and sternal refixation via bilateral longitudinal stainless-steel wires that are placed parasternally along the ribs at the midclavicular or anterior axillary line, followed by six to eight horizontal stainless-steel wires that are anchored laterally and directly into the ribs. Read More

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Fibrosing Mediastinitis Presenting With Superior Vena Cava Syndrome.

Cureus 2022 Mar 31;14(3):e23700. Epub 2022 Mar 31.

Anesthesiology, Wayne State University School of Medicine, Detroit, USA.

Fibrosing mediastinitis (FM) is an uncommon diagnosis that involves the proliferation of extensive, dense fibrous tissue in the mediastinum. FM accounts for less than 1% of people with prior infection by that develop hypersensitivity immune responses to antigens released during the initial exposure. Other causes include tuberculosis, blastomycosis, sarcoidosis, radiation, and idiopathic. Read More

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The Mediport Paradox: Mediastinitis and Pericardial Effusion With a Misplaced Mediport.

Cureus 2022 Apr 28;14(4):e24562. Epub 2022 Apr 28.

Internal Medicine/Nephrology, McLaren Health Care, Flint/Michigan State University (MSU), Michigan, USA.

Totally implantable subcutaneous devices (TISDs) have become excellent options for patients requiring long-term chemotherapy, parenteral nutrition, and fluid replacement. As with all invasive devices and procedures, they come with their inherent risks, which may manifest immediately or at a later point in time. We present the case of a 74-year-old female with a history of hypertension, chronic obstructive pulmonary disease (COPD), ischemic stroke, breast cancer, and lung cancer who had mediport placement for chemotherapy administration. Read More

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An Overlooked Cause of Diffused T-Wave Inversion.

JACC Cardiovasc Interv 2022 May 27;15(10):e125-e129. Epub 2022 Apr 27.

Department of Cardiology, Gansu Provincial Hospital, Lanzhou, People's Republic of China. Electronic address:

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Esophagomediastinal fistula: a rare case of gastrointestinal tuberculosis.

Rev Esp Enferm Dig 2022 Apr 29. Epub 2022 Apr 29.

Gastroenterology, Hospital Pedro Hispano.

A 40-year-old male with history of HIV infection was admitted to the hospital with a one-month history of productive cough, vespertine fever, night sweats, loss of appetite and unintentional 10-Kg weight loss. Physical exam was remarkable for cachexia. Blood tests revealed a CD4+ T lymphocyte count of 23 cells/mm3 and HIV viral load of 837,678 copies/ml. Read More

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Tonsillar origin of deep neck infection as a negative prognostic factor for developing complications.

Otolaryngol Pol 2021 Oct;76(2):42-45

Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Ostrava, Czech Republic.

<b>Aim:</b> The aim of this study was to compare the odontogenic and tonsillar origins of deep neck infection (DNI) as a negative prognostic factor for developing complications. </br></br> <b>Methods:</b> This was a retrospective study of 544 patients with tonsillar and odontogenic origins of DNI treated between 2006 and 2015 at 6 ENT Departments and Departments of Oral and Maxillofacial Surgery. Complications from DNI (descending mediastinitis, sepsis, thrombosis of the internal jugular vein, pneumonia, and pleuritis) were evaluated in both groups and compared. Read More

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October 2021

[Comparison of Three Methods of Sternal Closure after Open Heart Surgery:Analysis of 722 Cases for 11 Years].

Kyobu Geka 2022 May;75(5):323-327

Department of Cardiovascular Surgery, Mito Saiseikai General Hospital, Mito, Japan.

722 patients who returned to the intensive care unit( ICU) after completing the cardiac surgery and closing the median sternotomy from Jan 2010 to Feb 2021 at our hospital were divided into 3 groups according to the different sternal closures. Sternum was fixed with 6 wires alone in group A (n=333), with 2 absorbable plates and 6 wires in group B( n=259) or with 3 titanium plates with 20 screws and 4 wires in group C (n=130). Background characteristics were not different between the 3 groups. Read More

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The role of the unilateral pectoralis major muscle flap in the treatment of deep sternal wound infection and dehiscence.

J Card Surg 2022 Apr 26. Epub 2022 Apr 26.

Division of Plastic Surgery, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.

Deep sternal wound infection and dehiscence has been classified as complex wound, and its treatment is a challenge for the surgeon. There are many flap choices for its treatment, each one having advantages and drawbacks. The article by Wang et al. Read More

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Factors Creating a Need for Repeated Drainage of Deep Neck Infections.

Diagnostics (Basel) 2022 Apr 9;12(4). Epub 2022 Apr 9.

School of Medicine, Chang Gung University, Taoyuan 333, Taiwan.

Deep neck infection (DNI) is associated with morbidity and mortality. Surgical incision and drainage (I&D) of DNI abscesses are essential. Refractory abscesses require repeat I&D. Read More

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Eso-Sponge® for anastomotic leakage after oesophageal resection or perforation: outcomes from a national, prospective multicentre registry.

BJS Open 2022 Mar;6(2)

Department of General Surgery, University Hospital Rostock, Rostock, Germany.

Background: Anastomotic leakage (AL) after oesophagectomy and oesophageal perforations are associated with significant morbidity and mortality. Minimally invasive endoscopy is often used as first-line treatment, particularly endoluminal vacuum therapy (EVT). The aim was to assess the performance of the first commercially available endoluminal vacuum device (Eso-Sponge®) in the management of AL and perforation of the upper gastrointestinal tract (GIT). Read More

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Successful method in the treatment of complicated sternal dehiscence and mediastinitis: Sternal reconstruction with osteosynthesis system supported by vacuum-assisted closure.

Turk Gogus Kalp Damar Cerrahisi Derg 2022 Jan 28;30(1):57-65. Epub 2022 Jan 28.

Department of Thoracic Surgery and Lung Transplantation, Health Sciences University, Ankara City Hospital, Ankara, Turkey.

Background: This study aims to evaluate the results of the method we used to treat sternal dehiscence and mediastinitis due to median sternotomy following open heart surgery.

Methods: Between July 2014 and March 2019, a total of 13 patients (8 males, 5 females; mean age: 60.3±2. Read More

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January 2022

Relationship between mysticism and severe odontogenic infections in Africa: what to do?

Oral Surg Oral Med Oral Pathol Oral Radiol 2022 Jan 16. Epub 2022 Jan 16.

Department of Oral and Maxillofacial Surgery, Faculdade São Leopoldo Mandic, Campinas, Brazil.

Objective: This study is a case report of a severe odontogenic infection treated at Huambo Provincial Hospital, Angola. The case was made worse by local mysticism.

Case Report: A pregnant woman was treated for a severe odontogenic infection that caused descending mediastinitis and even a lumbar abscess. Read More

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January 2022

[Importance of early identification of a deep neck abscess].

Ned Tijdschr Tandheelkd 2022 Apr;129(4):175-183

Treatment of odontogenic infections, such as drainage of submucosal abscesses, should be carried out by the dental practitioner. However, when an odontogenic infection deteriorates into a deep neck abscess, treatment should be carried out by the oral maxillofacial surgeon. Based on two cases, this article describes the clinical presentation, course, and necessary treatment of a deep neck abscess. Read More

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Magnetic resonance imaging of children following esophageal button battery removal: What are we looking for?

Clin Imaging 2022 Jun 24;86:71-74. Epub 2022 Mar 24.

Department of Radiology, University of Washington, Seattle, WA, United States of America; Division of Radiology, Seattle Children's Hospital, Seattle, WA, United States of America. Electronic address:

Despite society recommendations that cross-sectional imaging be obtained following removal of ingested button batteries, there is no published consensus on how it effectively guides clinical management. This single institution survey demonstrates a lack of uniformity by clinicians regarding which imaging findings impact management decisions, highlighting the need for further guidelines. Read More

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Comparison of fibrosing mediastinitis patients with vs. without markedly increased systolic pulmonary arterial pressure: a single-center retrospective study.

BMC Cardiovasc Disord 2022 03 31;22(1):134. Epub 2022 Mar 31.

Department of Echocardiography, Heart Center, Beijing Chao-Yang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China.

Introduction: Fibrosing mediastinitis (FM) complicated with pulmonary hypertension (PH) has been considered as an important cause of morbidity and mortality. This study was designed to observe the possible effects of abnormal hemodynamics on patients by conducting a between-group comparison according to the presence of markedly increased systolic pulmonary arterial pressure (SPAP), so as to provide more information for clinical management.

Materials And Methods: Fifty-one patients with clinically diagnosed FM were divided in two groups (SPAP < 50 mmHg group; SPAP ≥ 50 mmHg group) and retrospectively included in the study. Read More

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DESCENDING NECROTIZING MEDIASTINITIS - A MULTIDISCIPLINARY PATHOLOGY.

Port J Card Thorac Vasc Surg 2022 Jan 4;28(4):71. Epub 2022 Jan 4.

Serviço de Otorrinolaringologia do Centro Hospitalar Universitário Lisboa Norte, Portugal.

A 23-year-old man presented with fever and cervical swelling. Contrast-enhanced CT-scan with oblique sagittal planes reconstructions with extensive collection with gaseous areas, involving multiple cervical and mediastinal spaces is shown, reflecting a cervical-mediastinal necrotizing fasciitis. Note the circumference to the laryngotracheal axis. Read More

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January 2022

Acute Mediastinitis due to Spontaneous Rupture of a Thyroid Cyst.

Arch Bronconeumol 2022 Mar 5;58(3):255. Epub 2021 May 5.

Servicio de Radiodiagnóstico, Hospital Universitario Clínico San Cecilio, Granada, España.

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[Translated article] Acute Mediastinitis due to Spontaneous Rupture of a Thyroid Cyst.

Arch Bronconeumol 2022 Mar 11;58(3):T255. Epub 2022 Feb 11.

Servicio de Radiodiagnóstico, Hospital Universitario Clínico San Cecilio, Granada, Spain.

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Minimally Invasive and Endoscopic Approach to Esophageal Perforation.

Eurasian J Med 2022 Feb;54(1):100-105

Department of Thoracic Surgery, Atatürk University School of Medicine, Erzurum, Turkey.

Although esophageal perforation is rare, it is a life-threatening condition. The esophagus is very sensitive to rupture and perforation due to the absence of a serosal layer. More than half of the esophageal perforations are iatrogenic and most occur during endoscopy. Read More

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February 2022

Surgical treatment of descending necrotising mediastinitis caused by odontogenic infection: a retrospective analysis of 20 patients.

Bratisl Lek Listy 2022 ;123(4):291-298

Objectives: Analysing the results of patients with odontogenic descending necrotising mediastinitis (DNM) treated predominantly by transcervical approach.

Background: Odontogenic DNM is a rare but serious complication of dental disease and dental procedures.

Methods: Retrospective evaluation of 20 patients who underwent surgery for odontogenic DNM. Read More

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[Mediastinal pancreatobiliary pseudocysts].

Khirurgiia (Mosk) 2022 (3):56-63

Yaroslavl Regional Clinical Hospital, Yaroslavl, Russia.

Objective: To select the optimal treatment for uninfected and suppurative rare mediastinal pancreatobiliary pseudocysts.

Material And Methods: There were 10 patients with mediastinal pancreatogenic (=9) and biliogenic (=1) pseudocysts formed through esophageal (=9) and aortic (=1) hiatus of the diaphragm. All patients were divided into groups: group A - uninfected pancreatic pseudocysts (=5) formed through esophageal hiatus; group B - 5 patients with suppurative pancreatogenic (=4) and biliogenic (=1) mediastinitis complicated by biliopleuroesophageal (=1), pancreatoesophageal (=1) and pancreatopleural (=2) fistulas. Read More

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Treatment of a chronic esophageal perforation after vertebral surgery with external vacuum therapy - a case report.

Pol Merkur Lekarski 2022 02;50(295):37-39

2nd Department of Surgery, University Hospital of Athens, Greece.

Esophageal perforations of any cause may escape early diagnosis and progress to lethal mediastinitis despite aggressive management. The treatment and outcome depends on the extent and chronicity of the injury.

A Case Report: We present a case of a late-diagnosed cervical esophageal rupture treated successfully with external vacuum therapy. Read More

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February 2022

Acute Mediastinitis - Outcomes and Prognostic Factors of Surgical Therapy (A Single-Center Experience).

Ann Thorac Cardiovasc Surg 2022 Mar 8. Epub 2022 Mar 8.

Department of Otorhinolaryngology, Faculty of Medicine in Pilsen, University Hospital Pilsen, Charles University, Pilsen, Czech Republic.

Purpose: The aims of this work were the retrospective analysis of a cohort of patients with acute mediastinitis treated at the authors' worksite over a 15-year period and the identification of factors that significantly affect the outcomes of the therapy.

Methods: During the period 2006-2020, 80 patients with acute mediastinitis were treated. Within the cohort, the following were observed: the causes and the type of acute mediastinitis, length of anamnesis, comorbidities, diagnostic methods, time from the diagnosis to surgery, types and number of surgical procedures, results of microbiological tests, complications, and outcomes of the treatment. Read More

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A post-COVID-19 posterior mediastinitis: Case report.

SAGE Open Med Case Rep 2022 28;10:2050313X221081386. Epub 2022 Feb 28.

Department of Radiology, Saint Joseph University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

Invasive aspergillosis is a life-threatening condition of the immunocompromised, with a low occurrence reported in the immunocompetent. Although usually made by invasive methods, its early diagnosis is the cornerstone of a better prognosis as it yields a timely management and thus a lower mortality risk. Mediastinal invasion by is, like any fungal mediastinitis, uncommon and usually results from a hematogeneous or a contiguous spread, a postoperative fungal infection, a complication of a descending necrotizing fasciitis, or from an esophageal perforation. Read More

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February 2022

Pneumomediastinum: A Rare Complication of Endobronchial Ultrasound Guided Fine Needle Aspiration.

Authors:
Biplab K Saha

Prague Med Rep 2022 ;123(1):43-47

Department of Pulmonary and Critical Care Medicine, Ozarks Medical Center, West Plains, USA.

Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) is a commonly performed outpatient procedure used for the diagnosis, staging of lung cancer, and the evaluation of thoracic lymphadenopathy of unknown origin. With the advent of this minimally invasive technology, mediastinoscopy, once the gold standard, has fallen out of favour. Pneumomediastinum is a rare complication of EBUS-TBNA and can often be managed conservatively. Read More

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