Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Spontaneous Mediastinitis in a Ten-year-old Girl: A Case Report

저절로 발생한 10세 여아의 종격동염: 증례 보고

  • Cho, Kyung-Eun (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Ji-Hong (Department of Pediatrics, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Mi-Jung (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Myung-Joon (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) ;
  • Yoon, Choon-Sik (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 조경은 (연세대학교 의과대학 강남세브란스병원 영상의학과) ;
  • 김지홍 (연세대학교 의과대학 강남세브란스병원 소아청소년과) ;
  • 이미정 (연세대학교 의과대학 세브란스병원 영상의학과) ;
  • 김명준 (연세대학교 의과대학 세브란스병원 영상의학과) ;
  • 윤춘식 (연세대학교 의과대학 강남세브란스병원 영상의학과)
  • Published : 2011.01.01
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Abstract

Acute suppurative mediastinitis is an uncommon, life threatening condition with a mortality rate of up to 40%. It is mainly caused by esophageal perforation or post-operative complications, and acute mediastinitis not caused by trauma or surgery is rare. To the best of our knowledge, no cases of spontaneous mediastinal abscess in children have been reported in the English medical literature. We report here on a case of an acute mediastinal abscess in a ten-year-old girl and there was no demonstrable clinical or radiologic etiology for infection.

급성 종격동염은 흔하지는 않으나 생명을 위협하는 질환으로, 주로 식도천공이나 수술 후 합병증에 의해 발생하며, 드물게 심부 경부 감염의 파급에 의해 발생할 수 있다. 항생제의 발달로 외상이나 수술력 없이 발생하는 급성 종격동염은 매우 드물다. 이에 외상과 수술력이 없는 10세 여환에서 저절로 발생한 중증 종격동염에 대한 증례를 보고하고자 한다.

Keywords

References

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