EURORAD ESR

Case 14903

Cervical necrotising fasciitis complicated by acute mediastinitis

Author(s)
Navarro-Baño, Antonio; Sánchez-Serrano, Irene; Cepero-Calvete, Ángela; López-Banet, Elena; Páez-Granda, Diego; Velázquez-Marín, Francisca; Guillén-Navarro, Jose María.

Hospital Clinico Universitario Virgen de la Arrixaca,
Servicio Murciano de Salud;
Carretera Madrid-Cartagena,
s/n. 30120 El Palmar, Spain;
Email:navarba@gmail.com
 
Patient
male, 59 year(s)
 
 
  • Figure 1
    Coronal CECT

    An abundant amount of air is seen in the cervical spaces of the left side of the face.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    Sagittal CECT

    Wall-enhancing fluid collection in the floor of the mouth.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    Axial CECT

    Several collections in cervical spaces, includying the retropharyngeal space.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    Axial CECT

    This image clearly shows the difference in enhancement between the left SCM and the anterior belly of the digastric muscle and muscles on the right, with hypodensity on the left.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 5
    Chest: axial post-contrast CT

    Pneumomediastinum and mediastinal fat inflammation, secondary to mediastinitis.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
An abundant amount of air is seen in the cervical spaces of the left side of the face.
 
Wall-enhancing fluid collection in the floor of the mouth.
 
Several collections in cervical spaces, includying the retropharyngeal space.
 
This image clearly shows the difference in enhancement between the left SCM and the anterior belly of the digastric muscle and muscles on the right, with hypodensity on the left.
 
Pneumomediastinum and mediastinal fat inflammation, secondary to mediastinitis.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version