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Thoracoscopic drainage of ascending mediastinitis arising from pancreatic pseudocyst

Division of General Thoracic Surgery, Department of Surgery, Far Eastern Memorial Hospital, No. 21, Sec. 2, Nan-Yah S.Rd. Banqiao City, Taipei, Taiwan

*Corresponding author. Tel.: +886-2-89667000 ext. 1317; fax: +886-2-89664355.

E-mail address: duck38{at}mail.femh.org.tw (Y.-C. Chang).

Acute mediastinitis is a life-threatening disease. Common etiologies include surgical infection, esophageal perforation, and descending necrotizing mediastinitis from the oral cavity or pharynx. Mediastinitis caused by pancreatic disease is rare. The most common thoracic complication of pancreatic disease is reactive pleural effusion. We report a case of acute mediastinitis and bilateral empyema thoracis arising from a pancreatic pseudocyst. We utilized thoracoscopy to drain the mediastinum without drainage of the intra-abdominal cyst. The patient recovered well after operation.

Key Words: Mediastinitis; Pancreatic pseudocyst; Thoracoscopy

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				F. Edwin, M. M. Tettey, M. Tamatey, and K. Frimpong-Boateng eComment: Optimal exposure for debridement of necrotizing mediastinitis and bilateral empyema thoracis Interactive CardioVascular and Thoracic Surgery, July 1, 2009; 9(1): 146 - 146. [Full Text] [PDF]