{"id":5153,"date":"2015-06-19T13:02:42","date_gmt":"2015-06-19T11:02:42","guid":{"rendered":"http:\/\/eestiarst.dbweb.ee\/?p=5153"},"modified":"2015-06-19T13:02:42","modified_gmt":"2015-06-19T11:02:42","slug":"mediastinitis-caused-by-ruptured-pancreatic-pseudocyst","status":"publish","type":"post","link":"https:\/\/eestiarst.ee\/en\/mediastinitis-caused-by-ruptured-pancreatic-pseudocyst\/","title":{"rendered":"Mediastinitis caused by ruptured pancreatic pseudocyst"},"content":{"rendered":"<p>A 42-year-old man with a history of chronic alcohol abuse was admitted to the emergency department after presenting swelling of the neck, odynophagia, dyspnea and hoarse voice. Blood samples revealed intense inflammatory reaction. After a clinical examination and CT-scan mediastinitis was diagnosed. The progression of dyspnea and instable haemodynamics necessitated intubation of the patient and transferring to the central hospital. A more extensive CT-scan revealed two communicating abdominal pancreatic pseudocysts with the upper one reaching the mediastinal space and leading to mediastinitis. The patient was\u00a0 operated using right-sided thoracotomy and upper median laparotomy: drainage of the pleural cavities, the mediastinum, and the abdominal pseudocyst was performed. I\/v Tienam 0.5g x 4 was administered for antibacterial therapy. Postoperative recovery was rapid, although one more operation was needed to remove a part of the broken drain The AB therapy lasted 7 days and the patient was dicharged on the 13th day. The mediastinal pus culture yielded no microorganism. Four months later the patient`s blood levels of glycose and amylase were within the reference range.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 42-year-old man with a history of chronic alcohol abuse was admitted to the emergency department after presenting swelling of the neck, odynophagia, dyspnea and hoarse voice. Blood samples revealed intense inflammatory reaction. After a clinical examination and CT-scan mediastinitis was diagnosed. The progression of dyspnea and instable haemodynamics necessitated intubation of the patient and &#8230;<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[1539],"class_list":["post-5153","post","type-post","status-publish","format-standard","hentry","category-articles","tag-case-history","authors-asko-seffer-en","authors-edvard-garder-en","authors-ilmar-kaur-en","authors-tonu-vanakesa-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/5153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/comments?post=5153"}],"version-history":[{"count":1,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/5153\/revisions"}],"predecessor-version":[{"id":5154,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/posts\/5153\/revisions\/5154"}],"wp:attachment":[{"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/media?parent=5153"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/categories?post=5153"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eestiarst.ee\/en\/wp-json\/wp\/v2\/tags?post=5153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}