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Case Reports
. 2018 Sep 6:25:196-198.
doi: 10.1016/j.rmcr.2018.09.003. eCollection 2018.

Spontaneous mediastinitis with multiple esophageal abscess in the esophagus

Tomás Almorza  1 , Mercedes Herrera-Juárez  1 , Antonio Lalueza  1   2   3
Affiliations
Case Reports

Spontaneous mediastinitis with multiple esophageal abscess in the esophagus

Tomás Almorza et al. Respir Med Case Rep. .

Abstract

Acute mediastinitis (AM) is a rare and deadly disease without appropriate treatment. It is usually due to invasive medical procedures, being uncommon the spontaneous onset. We report a case of 49-year-old patient whose starting symptoms were dyspnea and oppressive epigastric pain.

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Figures

Fig. 1
Fig. 1
Multiple oesophageal abscess which surround the oesophagus from the uppermost part of it to the gastroesophageal junction (about 20cm). Although the oesophageal wall was poorly delimited, it seemed to be thickened, and a collection of pus can be seen in the subserosa, leaving the mucosal membrane apparently unaffected. No gas bubbles can be seen. Several little lymph nodes in the upper mediastinum.
Fig. 2
Fig. 2
Image of esophagogram (from left to right, cervical, thoracic and abdominal portion), showing a oesophageal wall with normal thickness and motility, with no evidence perforation.
See this image and copyright information in PMC

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