In ct we observed free gas bubbles in the mediastinum 42%, attenuation of mediastinal fat. Perforacion esofagica sepsis insuficiencia multiorganica mortalidad morbilidad. Habia 43 pacientes con mnd y 31 pacientes con mediastinitis por perforacion esofagica. Mortality due to esophageal perforation caused by acute mediastinitis. Primary esophageal repair for boerhaaves syndrome whatever the free. Absceso mediastinico anterior secundario a rotura esofagica. Diagnostico, manejo inicial y criterios quirurgicos en. Estenosis esofagica cancer care of western new york. The most frequent acute cause is sternotomy following cardiac revascularization surgery with both internal mammary arteries, with an incidence of 0. Ge voumen 43, issue 2, pages 163165 february 1996 surg endosc 2003 17. Es manejado mediante tratamiento conservador en forma satisfactoria. Mediastinitis is defined as acute or chronic inflammation of the mediastinal structures and generally has a low incidence. Scribd is the worlds largest social reading and publishing site. Evolutionary classification and surgical treatment algorithm.