Mediastinitis complicating a percutaneous endoscopic gastrostomy: a case report
| Autor: | Athanasios Karagiannis, Ion Skottis, Andreas Karabinis, Maria Tsirantonaki, Anastasios Konstantinidis, Spiros Spirou, Kalliopi Papakonstantinou |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty complications medicine.medical_treatment Case Report percutaneous endoscopic gastrostomy intensive care unit Enteral administration Sepsis Percutaneous endoscopic gastrostomy medicine Humans Major complication lcsh:RC799-869 Gastrostomy Esophageal Perforation Multiple Trauma business.industry Accidents Traffic Gastroenterology General Medicine brain injury medicine.disease Mediastinitis Surgery lcsh:Diseases of the digestive system. Gastroenterology business |
| Zdroj: | BMC Gastroenterology, Vol 3, Iss 1, p 11 (2003) BMC Gastroenterology |
| ISSN: | 1471-230X |
| DOI: | 10.1186/1471-230x-3-11 |
| Popis: | Background Since its introduction in the early 1980s, percutaneous endoscopic gastrostomy has become the most popular method for performing a gastrostomy for long-term enteral feeding. It has been associated, however, with a lot of minor and major complications. Case presentation A case of mediastinitis with concominant sepsis caused by a masked esophageal perforation after percutaneous endoscopic gastrostomy in a multi-traumatized, brain-injured patient is presented. Ten – fourteen days after the procedure, the patient became febrile and gradually septic with tenderness of the sternum and upper abdomen. Computerized tomography of the thorax revealed mediastinitis. An urgent left thoracotomy and laparotomy were performed for drainage of the mediastinum, removal of the gastrostomy and insertion of a jejunostomy tube. The patient improved soon after the surgery. He was successfully weaned off the ventilator and was discharged from the Intensive Care Unit. Conclusion Perforating mediastinitis is a rare but potentially lethal complication of percutaneous endoscopic gastrostomy. When diagnosed and properly treated it may have a favourable outcome. |
| Databáze: | OpenAIRE |
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