Mediastinal abscess revealed by computed tomography after pharyngeal fish-bone impaction

Radiology Case Reports

article

Julien W. Hsieh¹  Nicolas Dulguerov¹  Maxime Mermod¹ 

[1] Department of Otorhinolaryngology- Head and Neck Surgery, Geneva University Hospitals

关键词: Foreign bodies;    Esophagus;    Endoscopy;    Sepsis;    Abscess;   

DOI  :  10.1016/j.radcr.2022.09.012

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Fishbone impactions in the upper aerodigestive tract are frequent but rarely cause serious complications when recognized and treated early. In this report, we describe the case of a patient that sought medical attention as late as 2 weeks after the fishbone impaction. A 52-year-old male was presented with fever, odynophagia and a toxic appearance. CT scan revealed a large cervicomediastinal abscess. The patient was immediately started on large-spectrum antibiotics, treated by surgical drainage , and recovered uneventfully. This case report highlights the occurrence of severe complications of upper digestive tract fishbone impaction and the usefulness of a preoperative CT scanner in this context.

【 授权许可】

CC BY|CC BY-NC-ND