Chronic mediastinitis

Chronic mediastinal inflammation is a granulomatous, fibrous process of mostly unclear etiology. The occurrence of this disease is rare.
 * Ormond's disease = idiopathic mediastinal fibrosis + retroperitoneal fibrosis.

Clinical picture

 * At the beginning without difficulty,
 * later upper vena cava syndrome, esophageal stenosis + tracheobronchial tree stenosis,
 * X-ray: enlargement of the upper mediastinum, rarely calcification.

Therapy

 * Surgical removal of mechanical compression, glucocorticoids.

Related articles

 * Mediastinum
 * Acute mediastinitis