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

Autor:	Smolar M; Clinic of Surgery and Transplantation Center, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin and University Hospital Martin, Slovakia., Dzian A; Clinic of Thoracic Surgery, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin and University Hospital Martin, Slovakia., Hamzik J; Clinic of Thoracic Surgery, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin and University Hospital Martin, Slovakia., Saniova B; Clinic of Anaesthesiology and Intensive Care Medicine, Comenius University in Bratislava, Jessenius Faculty of Medicine and Martin University Hospital, Martin, Slovakia., Laca L; Clinic of Surgery and Transplantation Center, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin and University Hospital Martin, Slovakia.
Jazyk:	angličtina
Zdroj:	Neuro endocrinology letters [Neuro Endocrinol Lett] 2017 Oct; Vol. 38 (5), pp. 325-328.
Abstrakt:	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.
Databáze:	MEDLINE
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