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Radiology, Vol 165, 395-398, Copyright © 1987 by Radiological Society of North America

ARTICLES

Transesophageal drainage of mediastinal abscesses

SG Meranze, RF LeVeen, DR Burke, C Cope and GK McLean
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.

Esophageal perforation with subsequent formation of a mediastinal abscess is a well-recognized clinical entity. Causes include perforation due to rigid and fiberoptic endoscopy, bouginage, breakdown of surgical anastomoses, and protracted vomiting. This disorder is associated with a high morbidity and, without intervention, a high mortality. In the past, surgery has been the treatment of choice. Although percutaneous drainage techniques have been used in some cases, they are frequently less attractive due to the location of the esophagus and its proximity to thoracic organs and vascular structures. In this study, eight abscesses caused by esophageal perforations were drained through a transesophageal route with minimal patient morbidity. These cases are presented with a discussion of the techniques and patient follow-up.


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