Nonvascular, Nontrau-Matic mediastinal emer-gencies in adults: A Comprehensive Review of Imaging Findings

Venkata Katabathina, Carlos S Restrepo, Santiago Martinez-Jimenez, Roy F. Riascos

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Given their high frequency, mediastinal emergencies are often perceived as being a result of external trauma or vascular conditions. However, there is a group of nonvascular, nontraumatic mediastinal emergencies that are less common in clinical practice, are less recognized, and that represent an important source of morbidity and mortality in patients. Nonvascular, nontraumatic mediastinal emergencies have several causes and result from different pathophysiologic mechanisms including infection, internal trauma, malignancy, and postoperative complications, and some may be idiopathic. Some conditions that lead to nonvascular, nontraumatic mediastinal emergencies include acute mediastinitis; esophageal emergencies such as intramural hematoma of the esophagus, Boerhaave syndrome, and acquired esophagorespiratory fistulas; spontaneous mediastinal hematoma; tension pneumomediastinum; and tension pneumopericardium. Although clinical findings of nonvascular, nontraumatic mediastinal emergencies may be nonspecific, imaging findings are often definitive. Awareness of various nonvascular, nontraumatic mediastinal emergencies and their clinical manifestations and imaging findings is crucial for making an accurate and timely diagnosis to facilitate appropriate patient management.

Original languageEnglish (US)
Pages (from-to)1141-1160
Number of pages20
JournalRadiographics
Volume31
Issue number4
DOIs
StatePublished - Jul 2011

Fingerprint

Emergencies
Hematoma
Pneumopericardium
Mediastinal Emphysema
Mediastinitis
Wounds and Injuries
Esophagus
Fistula
Blood Vessels
Morbidity
Mortality
Infection
Neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

Katabathina, V., Restrepo, C. S., Martinez-Jimenez, S., & Riascos, R. F. (2011). Nonvascular, Nontrau-Matic mediastinal emer-gencies in adults: A Comprehensive Review of Imaging Findings. Radiographics, 31(4), 1141-1160. https://doi.org/10.1148/rg.314105177

Nonvascular, Nontrau-Matic mediastinal emer-gencies in adults : A Comprehensive Review of Imaging Findings. / Katabathina, Venkata; Restrepo, Carlos S; Martinez-Jimenez, Santiago; Riascos, Roy F.

In: Radiographics, Vol. 31, No. 4, 07.2011, p. 1141-1160.

Research output: Contribution to journalArticle

Katabathina, V, Restrepo, CS, Martinez-Jimenez, S & Riascos, RF 2011, 'Nonvascular, Nontrau-Matic mediastinal emer-gencies in adults: A Comprehensive Review of Imaging Findings', Radiographics, vol. 31, no. 4, pp. 1141-1160. https://doi.org/10.1148/rg.314105177
Katabathina, Venkata ; Restrepo, Carlos S ; Martinez-Jimenez, Santiago ; Riascos, Roy F. / Nonvascular, Nontrau-Matic mediastinal emer-gencies in adults : A Comprehensive Review of Imaging Findings. In: Radiographics. 2011 ; Vol. 31, No. 4. pp. 1141-1160.
@article{143af708fec04a0eaa67de7eca3cc902,
title = "Nonvascular, Nontrau-Matic mediastinal emer-gencies in adults: A Comprehensive Review of Imaging Findings",
abstract = "Given their high frequency, mediastinal emergencies are often perceived as being a result of external trauma or vascular conditions. However, there is a group of nonvascular, nontraumatic mediastinal emergencies that are less common in clinical practice, are less recognized, and that represent an important source of morbidity and mortality in patients. Nonvascular, nontraumatic mediastinal emergencies have several causes and result from different pathophysiologic mechanisms including infection, internal trauma, malignancy, and postoperative complications, and some may be idiopathic. Some conditions that lead to nonvascular, nontraumatic mediastinal emergencies include acute mediastinitis; esophageal emergencies such as intramural hematoma of the esophagus, Boerhaave syndrome, and acquired esophagorespiratory fistulas; spontaneous mediastinal hematoma; tension pneumomediastinum; and tension pneumopericardium. Although clinical findings of nonvascular, nontraumatic mediastinal emergencies may be nonspecific, imaging findings are often definitive. Awareness of various nonvascular, nontraumatic mediastinal emergencies and their clinical manifestations and imaging findings is crucial for making an accurate and timely diagnosis to facilitate appropriate patient management.",
author = "Venkata Katabathina and Restrepo, {Carlos S} and Santiago Martinez-Jimenez and Riascos, {Roy F.}",
year = "2011",
month = "7",
doi = "10.1148/rg.314105177",
language = "English (US)",
volume = "31",
pages = "1141--1160",
journal = "Radiographics",
issn = "0271-5333",
publisher = "Radiological Society of North America Inc.",
number = "4",

}

TY - JOUR

T1 - Nonvascular, Nontrau-Matic mediastinal emer-gencies in adults

T2 - A Comprehensive Review of Imaging Findings

AU - Katabathina, Venkata

AU - Restrepo, Carlos S

AU - Martinez-Jimenez, Santiago

AU - Riascos, Roy F.

PY - 2011/7

Y1 - 2011/7

N2 - Given their high frequency, mediastinal emergencies are often perceived as being a result of external trauma or vascular conditions. However, there is a group of nonvascular, nontraumatic mediastinal emergencies that are less common in clinical practice, are less recognized, and that represent an important source of morbidity and mortality in patients. Nonvascular, nontraumatic mediastinal emergencies have several causes and result from different pathophysiologic mechanisms including infection, internal trauma, malignancy, and postoperative complications, and some may be idiopathic. Some conditions that lead to nonvascular, nontraumatic mediastinal emergencies include acute mediastinitis; esophageal emergencies such as intramural hematoma of the esophagus, Boerhaave syndrome, and acquired esophagorespiratory fistulas; spontaneous mediastinal hematoma; tension pneumomediastinum; and tension pneumopericardium. Although clinical findings of nonvascular, nontraumatic mediastinal emergencies may be nonspecific, imaging findings are often definitive. Awareness of various nonvascular, nontraumatic mediastinal emergencies and their clinical manifestations and imaging findings is crucial for making an accurate and timely diagnosis to facilitate appropriate patient management.

AB - Given their high frequency, mediastinal emergencies are often perceived as being a result of external trauma or vascular conditions. However, there is a group of nonvascular, nontraumatic mediastinal emergencies that are less common in clinical practice, are less recognized, and that represent an important source of morbidity and mortality in patients. Nonvascular, nontraumatic mediastinal emergencies have several causes and result from different pathophysiologic mechanisms including infection, internal trauma, malignancy, and postoperative complications, and some may be idiopathic. Some conditions that lead to nonvascular, nontraumatic mediastinal emergencies include acute mediastinitis; esophageal emergencies such as intramural hematoma of the esophagus, Boerhaave syndrome, and acquired esophagorespiratory fistulas; spontaneous mediastinal hematoma; tension pneumomediastinum; and tension pneumopericardium. Although clinical findings of nonvascular, nontraumatic mediastinal emergencies may be nonspecific, imaging findings are often definitive. Awareness of various nonvascular, nontraumatic mediastinal emergencies and their clinical manifestations and imaging findings is crucial for making an accurate and timely diagnosis to facilitate appropriate patient management.

UR - http://www.scopus.com/inward/record.url?scp=79960542926&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79960542926&partnerID=8YFLogxK

U2 - 10.1148/rg.314105177

DO - 10.1148/rg.314105177

M3 - Article

C2 - 21768244

AN - SCOPUS:79960542926

VL - 31

SP - 1141

EP - 1160

JO - Radiographics

JF - Radiographics

SN - 0271-5333

IS - 4

ER -