伴有脓胸和颈外动脉假性动脉瘤的路德维希咽峡炎的罕见表现。

An Unusual Presentation of Ludwig's Angina with Empyema Thoracis and External Carotid Artery Pseudoaneurysm.

作者信息

Meena Satya Prakash, Rodha Mahaveer Singh, Garg Pawan Kumar, Patel Surendra

机构信息

Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Department of Trauma and Emergency (General Surgery), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

Int J Appl Basic Med Res. 2022 Oct-Dec;12(4):291-293. doi: 10.4103/ijabmr.ijabmr_716_21. Epub 2022 Dec 19.

DOI:10.4103/ijabmr.ijabmr_716_21

PMID:36726650

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9886144/

Abstract

Ludwig's angina is a rapidly spreading soft-tissue infection and commonly occurs following odontogenic infection. A 30-year-old male presented to the emergency department, 7 days after the extraction of molar teeth with a sudden onset of mandibular swelling. He was diagnosed with Ludwig's angina with empyema thoracis and external carotid artery (ECA) pseudoaneurysm. He was successfully managed with video-assisted thoracoscopic surgery-guided drainage and endovascular embolization of ECA pseudoaneurysm. We share our experience of challenges faced during the management of unusual presentation of complicated Ludwig's angina.

摘要

路德维希咽峡炎是一种迅速扩散的软组织感染，通常发生在牙源性感染之后。一名30岁男性在拔除磨牙7天后因下颌突然肿胀就诊于急诊科。他被诊断为路德维希咽峡炎合并脓胸和颈外动脉假性动脉瘤。通过电视辅助胸腔镜手术引导下引流和颈外动脉假性动脉瘤的血管内栓塞，他得到了成功治疗。我们分享了在处理复杂路德维希咽峡炎异常表现时所面临挑战的经验。