Iatrogenic perforation of hypopharynx as a cause of severe descending necrotizing mediastinitis: A case report.

Iatrogenic perforation of hypopharynx as a cause of severe descending necrotizing mediastinitis: A case report. Neuro Endocrinol Lett. 2017 Oct 06;38(5):325-328 Authors: Abstract The authors present a case report of severe descending necrotizing mediastinitis (DNM) etiologically of unrecognized traumatic endotracheal intubation with hypopharynx-esophageal junction perforation. Patient was treated inadequately for seven days in local hospital what was the cause of sepsis progression into the septic shock with multiorgan dysfunction syndrome. Patient was transferred to specialized hospital and was immediately operated in general anaesthesia - combined transcervical approach and lateral thoracotomy was used for mediastinal drainage and debridement. Combination of appropriate conventional and surgical therapy led to reversing of the unfavorable situation. PMID: 29106786 [PubMed - as supplied by publisher]
Source: Neuroendocrinology Letters - Category: Endocrinology Tags: Neuro Endocrinol Lett Source Type: research