CT features of descending necrotizing mediastinitis--a pictorial essay

Emerg Radiol. 2007 Jun;14(2):77-81. doi: 10.1007/s10140-007-0606-0. Epub 2007 Apr 4.


Descending necrotizing mediastinitis (DNM) is a relatively rare condition caused by downward spread of neck infections into the mediastinum. This infection previously had a much worse prognosis. In recent years, prompt computer topography (CT) diagnosis has been recommended. CT scan provides the earliest means of detecting DNM for optimal management and early surgical intervention. This paper provides an illustrated summary of our extensive clinical experience with DNM, involving 36 documented cases with CT over a 5-year period.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Diagnosis, Differential
  • Female
  • Humans
  • Male
  • Mediastinitis / complications
  • Mediastinitis / diagnosis*
  • Mediastinitis / physiopathology
  • Middle Aged
  • Tomography, X-Ray Computed / methods