علاج التهاب المنصف الحاد التالي لانثقاب المريء مع ألم في الرقبة أو الصدر وحمى

References

DOI: 10.1093/ejcts/ezw326

• Mediastinitis can result from cervical as well as from thoracic oesophageal perforations and is associated with high mortality rates.
• A history of endoscopy in a patient with neck and/or chest pain in combination with fever is suggestive of an iatrogenic oesophageal perforation with possible mediastinal involvement.
• The patient is made nil by mouth and should undergo aggressive fluid resuscitation along with IV broad-spectrum antibiotics covering aerobic and anaerobic bacteria.