一名年轻相扑选手在闭合性钝性胸部创伤后被诊断出前纵隔脓肿。
Anterior mediastinal abscess diagnosed in a young sumo wrestler after closed blunt chest trauma.
作者信息
Sassa Tatsuro, Kobayashi Ken-Ichiro, Ota Masayuki, Washino Takuya, Hikone Mayu, Sakamoto Naoya, Iwabuchi Sentaro, Otsuji Mizuto, Ohnishi Kenji
机构信息
Department of Infectious Disease, Tokyo Metropolitan Bokutoh General Hospital, 4-23-15 kohtohbashi, Sumida City, Tokyo 130-0022, Japan.
出版信息
Chin J Traumatol. 2015;18(6):360-2. doi: 10.1016/j.cjtee.2015.12.002.
Most mediastinal abscesses result from infections after thoracotomy, esophageal perforation or pene- trating chest trauma. This disease is rarely caused by closed blunt chest trauma. All previously reported such cases after closed blunt chest trauma presented with hematoma and sternal osteomyelitis resulting from sternal fracture. Here we report a 15-year-old sumo wrestler who presented with an anterior mediastinal abscess without any mediastinal fracture. The mediastinal abscess resulted from the hematogenous spread of Staphylococcus aureus to a hematoma that might have been caused by a closed blunt chest trauma incurred during sumo wrestling exercises.
大多数纵隔脓肿是开胸手术、食管穿孔或穿透性胸部创伤后感染所致。这种疾病很少由闭合性钝性胸部创伤引起。所有先前报道的闭合性钝性胸部创伤后此类病例均伴有因胸骨骨折导致的血肿和胸骨骨髓炎。在此，我们报告一名15岁的相扑摔跤运动员，其患有前纵隔脓肿但无任何纵隔骨折。该纵隔脓肿是由金黄色葡萄球菌经血行播散至一个可能因相扑摔跤练习期间发生的闭合性钝性胸部创伤所致的血肿而引起的。
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