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ISSN 1029-3019 (Electronic)

2017, Number 11

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MediSan 2017; 21 (11)

Clinical, diagnostic and surgical characterization of patients with acute mediastinitis due to cervical and thoracic esophageal perforation

Nazario DAM, Suárez RJA, Castilla CG, Viñas NAM, García MA

Language: Spanish
References: 20
Page: 3152-3162
PDF size: 831.03 Kb.


ABSTRACT

A descriptive and cross-sectional study of 30 patients with acute mediastinitis due to esophageal perforation, who were surgically intervened at "Saturnino Lora Torres" Teaching Clinical Surgical Provincial Hospital was carried out in Santiago de Cuba from January, 1990 to August, 2016, aimed at characterizing them from the clinical, diagnostic and surgical points of view. The incidence of the disease was 37.9 out of 100 000 inhabitants with the young patients prevalence, in which the therapeutic esophagoscopy due to strange body of difficult extraction was the most frequent cause in the thoracic perforation, accompanied by symptoms and signs of esophageal syndrome and sepsis, associated with the staphylococci and streptococci presence. The computerized axial tomography constituted the exam of more value for the diagnosis, as long as, the different findings during the surgical intervention were in dependence of the grade of mediastinal infection. An exhaustive knowledge of the history, clinic and possible results of the complementary exams is necessary to assume a quick and effective behaviour, in order to achieve the decrease of mortality due to this disorder.


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