Rare complications of a dental abscess.
This article describes a case involving a poorly treated odontogenic infection, which was complicated by mediastinitis, thoracic empyema, pericarditis, and ascites. A posterolateral thoracotomy was necessary as incisional surgical drainage proved to be inadequate. A multidisciplinary approach of descending necrotizing mediastinitis and its complications is essential.
Rallis
George
G
Department of Oral and Maxillofacial Surgery, General Hospital of Attica, Athens, Greece.
Papadakis
Dimitrios
D
Koumoura
Fani
F
Gakidis
Ioannis
I
Mihos
Petros
P
D000328:Adult; D001201:Ascites / Q000209:etiology; D004322:Drainage; D016724:Empyema, Pleural / Q000209:etiology / Q000601:surgery; D005260:Female; D005491:Focal Infection, Dental / Q000150:complications*; D006801:Humans; D008480:Mediastinitis / Q000209:etiology* / Q000601:surgery; D009336:Necrosis; D010348:Patient Care Team; D010482:Periapical Abscess / Q000150:complications*; D010490:Pericardial Effusion / Q000209:etiology / Q000601:surgery; D010996:Pleural Effusion / Q000209:etiology / Q000601:surgery; D013908:Thoracotomy