title: [Ascending pancreatitis with mediastinal and parapharyngeal involvement].
abstract: A male patient who had suffered from alcohol dependence for several years was transferred to the Magdeburg University Hospital with signs of sepsis. The main cause for this was a previously unsuccessfully treated acute episode of chronic pancreatitis. Diagnostic imaging showed a distended ascending abscess extending above the larynx. During interdisciplinary emergency surgery, the neck, mediastinum and abdomen were drained and the pancreatic abscess removed. Under drainage, antibiotic therapy and parenteral nutrition the patient made a full recovery.
authors.affiliation: Institut für Anatomie, Otto-von-Guericke-Universität, Leipziger Strasse 44, 39120, Magdeburg, Deutschland. sven.nullmeier@med.ovgu.de
authors.forename: S
authors.initials: S
authors.lastname: Nullmeier
authors.forename: R
authors.initials: R
authors.lastname: Kuhn
authors.forename: H
authors.initials: H
authors.lastname: Lippert
authors.forename: C
authors.initials: C
authors.lastname: Motsch
mesh_terms: D004322:Drainage; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D010612:Pharyngitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome
references.citation: Eur Arch Otorhinolaryngol. 2005 Apr;262(4):345-50
references.pmid: 15235797
references.citation: Ann Thorac Surg. 1998 May;65(5):1483-8
references.pmid: 9594903
references.citation: Gastroenterol Clin Biol. 1999 Jan;23(1):137-40
references.pmid: 10219615
references.citation: Chirurg. 2004 Jul;75(7):731-47; quiz 748
references.pmid: 15205751
references.citation: Head Neck Surg. 1981 May-Jun;3(5):438-42
references.pmid: 7239940
references.citation: Gastroenterol Clin North Am. 2004 Dec;33(4):855-69, viii
references.pmid: 15528022
references.citation: Pancreas. 1989;4(2):228-36
references.pmid: 2755944