title: Successful drainage of a mediastinal abscess via an esophago-mediastinal fistula complicating radiotherapy for esophageal cancer: a case report.
abstract: Radiotherapy is now commonly employed in patients with inoperable esophageal cancer which invased neighbor organs directly. A rare, but often fatal complication of radiotherapy is perforation with mediastinal abscess. We successfully treated a 65-year-old male patient who developed an esophageal cancer with trans-esophageal drainage and irrigation. This technique may also be useful in the treatment of patients with anastomotic leaks after esophagectomy or idiopathic esophageal rupture.
authors.affiliation: The First Department of Surgery, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
authors.forename: Noriaki
authors.initials: N
authors.lastname: Mohri
authors.forename: Yoshimi
authors.initials: Y
authors.lastname: Akamo
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Takeyama
authors.forename: Tadao
authors.initials: T
authors.lastname: Manabe
mesh_terms: D000038:Abscess / Q000209:etiology / Q000601:surgery*; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy*; D004937:Esophageal Fistula / Q000209:etiology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000532:radiotherapy*; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology / Q000601:surgery*; D011878:Radiotherapy / Q000009:adverse effects; D013396:Suction / Q000379:methods*