[A case report of pyriform sinus fistula secondary to descending necrotizing mediastinitis and pyothorax]

Y Hu; M L Xu; X H Kong; Y J Huang

doi:10.3760/cma.j.cn115330-20230811-00041

[A case report of pyriform sinus fistula secondary to descending necrotizing mediastinitis and pyothorax]

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Apr 7;59(4):388-391. doi: 10.3760/cma.j.cn115330-20230811-00041.

[Article in Chinese]

Authors

Y Hu¹, M L Xu², X H Kong², Y J Huang²

Affiliations

¹ Medical school of Nantong University,Nantong 226001,China Department of Otorhinolaryngology Head and Neck Surgery,Taizhou People's Hospital Affiliated to Nanjing Medical University,Taizhou 225300,China.
² Department of Otorhinolaryngology Head and Neck Surgery,Taizhou People's Hospital Affiliated to Nanjing Medical University,Taizhou 225300,China.

PMID: 38622024
DOI: 10.3760/cma.j.cn115330-20230811-00041

Abstract

本文报道1例发生于老年男性的梨状窝瘘继发下行性坏死性纵隔炎及脓胸。患者男，70岁，因“咽痛伴呼吸不畅5 d”就诊。颈胸部增强CT示：颈部软组织积气，纵隔积气，双侧胸腔积液。行双侧胸腔穿刺引流，后咽颈部肿痛消退。细菌培养为鲍曼不动杆菌，改用敏感抗生素。内镜检查见右梨状窝瘘口，下通纵隔并积脓，经瘘口插入引流管冲洗引流。患者症状逐渐好转，依次拔除胸腔和纵隔腔引流，感染治愈，随访10个月无复发。.

Publication types

Case Reports

MeSH terms

Drainage / adverse effects
Empyema, Pleural* / complications
Fistula* / surgery
Humans
Mediastinitis* / complications
Necrosis / complications
Pyriform Sinus*