Mediastinitis in Children. Variants of Ultrasound Presentation (Literature Review with Their Own Clinical Observations)
Abstract
Мediastinitis in children is an extremely rare condition and presents mainly as a descending purulonecrotic process in the context of deep odontogenic inflammations in the neck. Another genesis of mediastinitis such as post-cardiac surgery complication is also very rare. Post-traumatic mediastinitis in children virtually does not occur. The disease is diagnosed on the basis of radiological imaging, CT definitely being the first choice. Ultrasound imaging is not mentioned as part of the diagnostic search algorithm. The publication presents 2 own observations of purulent mediastinitis in boys at the age of 8 (odontogenic mediastinitis) and 16 (post-traumatic mediastinitis) initially diagnosed by the ultrasound imaging with subsequent CT-confirmation. The cases were verified intraoperatively. Echograms are shown; imaging technical details are discussed, the publication is supplemented with a brief literature review.
About the Authors
E. B. Olkhova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
D. V. Khaspekov
ГБУЗ «ДГКБ Св. Владимира Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
A. S. Sar
ГБУЗ «ДГКБ Св. Владимира Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
N. A. Sholokhova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
G. S. Buvaeva
ГБУЗ «ДГКБ Св. Владимира Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
E. V. Kuznetsova
ГБУЗ «ДГКБ Св. Владимира Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
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Review
For citations:
Olkhova E.B., Khaspekov D.V., Sar A.S., Sholokhova N.A., Buvaeva G.S., Kuznetsova E.V. Mediastinitis in Children. Variants of Ultrasound Presentation (Literature Review with Their Own Clinical Observations). Radiology - Practice. 2020;(1):65-75. (In Russ.)
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