Experience on Diagnosis of Descending Necrotizing Mediastinitis at Viet Duc Hospital

Authors

  • Nguyen Duc Chinh Viet Duc Hospital, 40 Trang Thi, Hanoi
  • Tran Tuan Anh Viet Duc Hospital, 40 Trang Thi, Hanoi
  • Pham Vu Hung Viet Duc Hospital, 40 Trang Thi, Hanoi
  • Pham Gia Anh Viet Duc Hospital, 40 Trang Thi, Hanoi
  • Philipp Omar Hannah HELIOS ENDO-Klinik Hamburg, Holstenstrasse 2
  • Tran Dinh Tho Viet Duc Hospital, 40 Trang Thi, Hanoi

Keywords:

Descending necrotizing mediastinitis, esophageal perforation, Ludwig’s angina

Abstract

Background: Descending Necrotizing Mediastinitis (DNMs) are rare and are serious infections with a high mortality rate which complicates from pharyngeal, odontogenic infection or esophageal perforation. Early recognition and treatment are essential in order to minimize morbidity and mortality. Evaluation with imaging diagnosis, especially with computed tomography is necessary to confirm the diagnosis, and facilitate surgical planning. It is an important diagnostic method showing widened mediastinum, air-fluid level in mediastinum and subcutaneous crackling. Estrera’s criterias could be implemented for diagnosis of DNMs. We present one serie of 19 cases diagnosed with DNMs, with characteristic imaging findings. From this study we found that most of DNMs in Vietnam are commonly caused by esophageal perforation and we recommend to perform fibro-gastroendoscopy associated with CT for purposes of diagnosis and intervention. It also helps to locate the esophageal perforation.

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Published

2017-03-30

How to Cite

1.
Duc Chinh N, Tuan Anh T, Vu Hung P, Gia Anh P, Omar Hannah P, Dinh Tho T. Experience on Diagnosis of Descending Necrotizing Mediastinitis at Viet Duc Hospital. Thai J Surg [Internet]. 2017 Mar. 30 [cited 2024 Apr. 29];38(1):22-6. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/219943

Issue

Vol. 38 No. 1 (2017): January - March

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.