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Successful minimally invasive emergency surgery for descending necrotising mediastinitis.

V Boussemaere, G Cammu, P Vercauter, I Degrieck
Acta Chirurgica Belgica 2009 November
We present a case of descending necrotising mediastinitis in a healthy young patient, complicated by pneumonia of the right inferior lobe of the lung with parapneumonic effusions. We describe a successful outcome following adequate antibiotics, effective surgical drainage by thoracoscopy and parasternotomy, and hyperbaric oxygen therapy.

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