Surgical treatment of acute mediastinitis due to fish bone: A Case Report

Abstract

Acute mediastinitis is a serious condition that needs to be treated quickly. A 66- year-old female patient was admitted to the emergency department with fever and confusion. In her medical history she said that she coughed after eating fish 11 days earlier and a fish bone returned to her mouth one day before the admission to hospital. Her thorax CT scan showed air and high-density liquid collections in the mediastinal compartments. She was hospitalized with a diagnosis of mediastinitis. An endoscopy performed before the operation to examine the esophagus revealed a small necrotized area. The patient underwent surgery and the abscess was debrided after preoperative preparation. She was discharged on the postoperative 35th day after an intensive course of treatment.

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