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After the ingestion of a sharp-pointed fragment of bone and its esophagoscopic removal from a piriform sinus, an abscess developed in the neck above the clavicle. Roentgenograms after a barium swallow showed a perforation of the esophagus, with a bilocular abscess cavity extending horizontally and vertically into the superior mediastinum (figure). Sulfonamide drugs and penicillin given intramuscularly controlled the infection without surgical drainage.
GUTTERIDGE E. ROENTGENOGRAMS OF MEDIASTINAL ABSCESS. Arch Otolaryngol. 1950;51(2):272. doi:10.1001/archotol.1950.00700020293013
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