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Eur J Cardiothorac Surg 2004;25:897-898
© 2004 Elsevier Science NL

How-to-do-it

How to do it: thoracoscopic drainage of and foreign body removal from a posterior mediastinal abscess

Department of Cardiothoracic Surgery, Chesterman Wing, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK

Received 18 November 2003; received in revised form 17 December 2003; accepted 22 December 2003.

^* Corresponding author. Tel.: +44-114-243-43-43; fax: +44-114-22-66-796
e-mail: ben_davies{at}doctors.org.uk

We describe the thoracoscopic management of mediastinal sepsis and foreign body associated with a cervical oesophageal perforation. Following initially successful conservative management, the patient's condition worsened and we undertook surgical exploration where the abscess was drained and a fragment of china recovered.

Key Words: Mediastinitis • Sepsis • Oesophageal perforation • Abscess