Minimally invasive drainage of a posterior mediastinal abscess through the retropharyngeal space: a report of 2 cases.
Foreign-body ingestion is a common cause of esophageal perforation, which can lead to a fatal posterior mediastinal abscess. Routine treatments include the drainage of pus through the esophageal perforation, thoracotomy, and videothoracoscopic drainage. We present 2 cases of posterior mediastinal abscess caused by esophageal perforation. Both patients-a 44-year-old woman and an 80-year-old man-were successfully treated with a novel, minimally invasive approach that involved draining pus through the retropharyngeal space; drainage was supplemented by the administration of broad-spectrum antibiotics and nasal feeding.
Department of Otorhinolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Wu Hou District, Chengdu, Sichuan, PR China, 0086-610041.
Dan
D
Lu
Yu
Y
Zhao
D000038:Abscess / Q000209:etiology / Q000601:surgery*; D000328:Adult; D000369:Aged, 80 and over; D004322:Drainage / Q000379:methods*; D004939:Esophageal Perforation / Q000150:complications; D004947:Esophagus / Q000293:injuries; D005260:Female; D005547:Foreign Bodies / Q000150:complications; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010614:Pharynx