Closed blunt chest trauma causing mediastinal abscess.
J Trauma
; 41(5): 899-901, 1996 Nov.
Article
en En
| MEDLINE
| ID: mdl-8913224
ABSTRACT
Posttraumatic bacterial mediastinal abscess resulting from closed blunt trauma without penetrating injury or tracheal or esophageal rupture is, to our knowledge, previously unreported. We report a case of a patient injured in a motor vehicle collision that resulted in closed blunt chest trauma and mediastinal abscess 14 days after injury. Initial chest roentgenogram revealed a widened mediastinum. Computed tomographic scan of the chest revealed comminuted fractures of the upper sternum, manubrium, and the 3rd and 4th left anteriolateral ribs and a retrosternal hematoma. Transesophageal echocardiography was negative. The patient was dismissed 2 days after injury and returned to the hospital 14 days after injury with a fluctuant, pulsatile, upper midline chest wall and anteriolateral chest wall staphylococcal abscesses. The abscesses were drained and the sternomanubrial wound debrided in stages. The mediastinal defect was reconstructed with a pectoralis major muscle flap. This most likely represents bacterial seeding of the mediastinal hematoma from a distant source.
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Banco de datos:
MEDLINE
Asunto principal:
Infecciones Estafilocócicas
/
Traumatismos Torácicos
/
Heridas no Penetrantes
/
Absceso
/
Enfermedades del Mediastino
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
J Trauma
Año:
1996
Tipo del documento:
Article
País de afiliación:
Estados Unidos