Endoscopic mediastinal debridement for mediastinitis resulting from upper esophageal perforation

Abstract

A 57-year-old woman was admitted to the intensive care unit with a 15-day history of sore throat, neck pain, upper backache, and fever following the ingestion of a tablet. Initial conservative management did not resolve the symptoms and a contrast-enhanced computed tomography (CECT) scan of the chest was performed. The scan revealed posterior mediastinitis (• " Fig. 1), secondary to upper esophageal perforation with bilateral pleural effusion. An endoscopic assessment revealed a