Publication: Descending necrotizing mediastinitis: A fatal complication of neglected esophageal foreign body
Date
2007
Authors
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Journal ISSN
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Publisher
Kathmandu University
Abstract
Descending necrotising mediastinitis due to a neglected esophageal foreign body is uncommon. It is a lethal disease
if it develops with full blown clinical picture. A case is reported of descending necrotising mediastinitis caused by a
foreign body in oesophagus which is rarely reported in world literature. It is emphasized that prompt diagnosis and
aggressive surgical mediastinal drainage is very important for the survival of these patients. Delayed diagnosis and
treatment in our case may have been the cause of death of the patient. Delayed diagnosis in our case is due to the
unavailability proper health facility in remote area in developing countries like Nepal.
Key words: Descending necrotising mediastinitis, foreign body, oesophagus, fatal complication
Description
Ghimire A 1, Bhattarai M 2, Kumar M 3, Wakode PT4
1Assistant Professor, 2 Senior Resident, 4 Professor, Department of Otolaryngology & Head-Neck Surgery, 3 AssociateProfessor, Department of Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal