Endoscopic ultrasound-guided transesophageal drainage for acute mediastinitis caused by pancreatic fistula.
Acute mediastinitis
Endoscopic ultrasound
Pancreatic fistula
Transesophageal nasocystic drainage
Journal
Respiratory medicine case reports
ISSN: 2213-0071
Titre abrégé: Respir Med Case Rep
Pays: England
ID NLM: 101604463
Informations de publication
Date de publication:
2021
2021
Historique:
received:
29
01
2021
revised:
10
07
2021
accepted:
23
07
2021
entrez:
12
8
2021
pubmed:
13
8
2021
medline:
13
8
2021
Statut:
epublish
Résumé
Acute mediastinitis is a life-threatening condition, and standard treatment is percutaneous drainage and/or surgical treatment with antibiotics. A 58-year-old male diagnosed with acute mediastinitis originating from pancreatic fistula, detected only by endoscopic-ultrasound. We inserted a transesophageal nasocystic tube under endoscopic ultrasound guidance and successfully controlled the infection. The root of the main pancreatic duct for pancreatic juice drainage was recanalized using a duodenal endoscope. Endoscopic diagnosis and treatment by ultrasound have improved significantly; therefore, clinicians should know the potential of these procedures. The results of the present case may aid in the future treatment of patients with acute mediastinitis.
Identifiants
pubmed: 34381679
doi: 10.1016/j.rmcr.2021.101480
pii: S2213-0071(21)00142-8
pmc: PMC8339356
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101480Informations de copyright
© 2021 The Authors. Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to declare.
Références
Endoscopy. 2012;44 Suppl 2 UCTN:E211-2
pubmed: 22622750
Lancet. 2018 Jan 6;391(10115):51-58
pubmed: 29108721
Ann Surg. 2010 Mar;251(3):528-34
pubmed: 19858699
Pancreatology. 2019 Mar;19(2):224-229
pubmed: 30795927
Interact Cardiovasc Thorac Surg. 2009 Jul;9(1):144-5
pubmed: 19386659