Evidence map›Paper›PMID 42798325›Full record

ArticleOxford medical case reports2026

Descending necrotizing mediastinitis after pharyngeal fish bone impaction: a case report.

Es-Sddik El Bakri, Maryeme Lahjaouj, Maryeme Loudghiri, Walid Bijou, Yassine Oukessou, Sami Rouadi, Redallah Abada, Mohamed Roubal, Mohamed Mahtar

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Oxford medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Es-Sddik El BakriDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.
Maryeme LahjaoujDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.
Maryeme LoudghiriDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.
Walid BijouDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.
Yassine OukessouDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.
Sami RouadiDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.
Redallah AbadaDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.
Mohamed RoubalDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.
Mohamed MahtarDepartment of Otorhinolaryngology (ENT), 20 August Hospital, Ibn Rochd University Hospital, 4 Rue Lahcen El Arjoune, Quartier des Hôpitaux, 20360 Casablanca, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Descending necrotizing mediastinitis (DNM) is an uncommon but severe complication of deep neck infection. Most cases arise from odontogenic sources, whereas pharyngeal fish bone impaction is rare. We report the case of a 54-year-old man with poorly controlled type 2 diabetes mellitus who developed DNM 10 days after endoscopic removal of a fish bone lodged in the right vallecula. Flexible nasofibroscopy showed a residual vallecular mucosal lesion with marked supraglottic oedema, and contrast-enhanced cervicothoracic CT demonstrated extensive cervical infection with mediastinal spread. The patient underwent emergency cervicotomy with cervical and mediastinal drainage through a cervical approach, followed by broad-spectrum antibiotics, tracheostomy, and intensive care. He improved gradually with multidisciplinary care. This case underscores the need for early recognition, urgent surgical drainage, and coordinated management, especially in patients with poorly controlled diabetes, even after apparently successful foreign body removal.

Indexed as

cervical cellulitisdescending necrotizing mediastinitispharyngeal foreign bodysurgical drainagetype 2 diabetes mellitus

Identifiers

PMID42798325
PMCPMC13612233

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.