Clinical, diagnostic and surgical characterization of patients with acute mediastinitis due to cervical and thoracic esophageal perforation
Keywords:
esophageal perforation, acute mediastinitis, mortality, morbidity, surgery, secondary health care.Abstract
A descriptive and cross-sectional study of 30 patients with acute mediastinitis due to esophageal perforation, who were surgically intervened at "Saturnino Lora Torres" TeachingClinicalSurgicalProvincialHospitalwas carried out in Santiago de Cubafrom January, 1990 to August, 2016, aimed at characterizing them from the clinical, diagnostic and surgical points of view. The incidence of the disease was 37.9 out of 100 000 inhabitants with the young patients prevalence, in which the therapeutic esophagoscopy due to strange body of difficult extraction was the most frequent cause in the thoracic perforation, accompanied by symptoms and signs of esophageal syndrome and sepsis, associated with the staphylococci and streptococci presence. The computerized axial tomography constituted the exam of more value for the diagnosis, as long as, the different findings during the surgical intervention were in dependence of the grade of mediastinal infection. An exhaustive knowledge of the history, clinic and possible results of the complementary exams is necessary to assume a quick and effective behaviour, in order to achieve the decrease of mortality due to this disorder.
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