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Interact Cardiovasc Thorac Surg · Jul 2009
Case ReportsThoracoscopic drainage of ascending mediastinitis arising from pancreatic pseudocyst.
- Yi-Chen Chang and Chung-Wei Chen.
- Division of General Thoracic Surgery, Department of Surgery, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nan-Yah S.Rd. Banqiao City, Taipei, Taiwan. duck38@mail.femh.org.tw
- Interact Cardiovasc Thorac Surg. 2009 Jul 1;9(1):144-5.
AbstractAcute mediastinitis is a life-threatening disease. Common etiologies include surgical infection, esophageal perforation, and descending necrotizing mediastinitis from the oral cavity or pharynx. Mediastinitis caused by pancreatic disease is rare. The most common thoracic complication of pancreatic disease is reactive pleural effusion. We report a case of acute mediastinitis and bilateral empyema thoracis arising from a pancreatic pseudocyst. We utilized thoracoscopy to drain the mediastinum without drainage of the intra-abdominal cyst. The patient recovered well after operation.
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