[An unusual mediastinal opacity].
A 36-year old immunocompetent male from Senegal with an uneventful history was admitted for exploration of a bullous collection in the posterior mediastinum. Multifocal tuberculosis was diagnosed. Computed tomography-guided drainage removed 600 cc of caseum. The diagnosis as rupture of intrathoracic Pott's abscess complicated by a probably esophageal fistula. The clinical course was rapidly favorable with later development of mediastinal fibrosis. This uncommon case illustrates the contribution of interventional radiology recently developed in the Principal Hospital in Dakar, Senegal.
Margery
J
J
Service des Maladies Respiratoires, Hôpital d'Instruction des Armées Percy, 101, avenue Henri-Barbusse, BP 406, 92140 Clamart. j.margery@wanadoo.fr
Bâ-Fall
K
K
Rouquet
P
P
Rique
M
M
Lefebvre
N
N
Chevalier
B
B
Camara
P
P
Mbaye
P S
PS
Debonne
J-M
JM
Sané
M
M
D000038:Abscess / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D000328:Adult; D004322:Drainage; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D015642:Radiology, Interventional; D012675:Senegal; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014399:Tuberculosis, Spinal / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery