Minimally invasive drainage of a posterior mediastinal abscess through the retropharyngeal space: A report of 2 cases | Ear, Nose & Throat Journal Skip to content Skip to navigation

Minimally invasive drainage of a posterior mediastinal abscess through the retropharyngeal space: A report of 2 cases

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March 2, 2015
by Dan Lu, MD; Yu Zhao, MD, PhD

Abstract

Foreign-body ingestion is a common cause of esophageal perforation, which can lead to a fatal posterior mediastinal abscess. Routine treatments include the drainage of pus through the esophageal perforation, thoracotomy, and videothoracoscopic drainage. We present 2 cases of posterior mediastinal abscess caused by esophageal perforation. Both patients-a 44-year-old woman and an 80-year-old man-were successfully treated with a novel, minimally invasive approach that involved draining pus through the retropharyngeal space; drainage was supplemented by the administration of broad-spectrum antibiotics and nasal feeding.

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