[Descending necrotizing mediastinitis: treatment by transcervical thoracic drainage].
We report the case of a 29-year-old man with descending necrotizing mediastinitis and subcarinal spread secondary to oropharyngeal infection. The thoracic infection was treated by placement of a transcervical thoracic drain, which was removed 15 days after surgery. The outcome was satisfactory and no further invasive treatment was required. We believe that transcervical thoracic drainage is a useful initial treatment for descending necrotizing mediastinitis with subcarinal spread but no pleural cavity involvement.
Honguero Martínez
A F
AF
Servicio de Cirugía Torácica. Consorcio Hospital General Universitario de Valencia. Valencia. España. tonyhonguero@yahoo.es
Arnau Obrer
A
A
Fernández Centeno
A
A
Saumench Perramon
R
R
Estors
M
M
Cantó Armengod
A
A
D000328:Adult; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery*; D009336:Necrosis; D014057:Tomography, X-Ray Computed