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Scholars Journal of Medical Case Reports | Volume-14 | Issue-05
Descending Necrotizing Mediastinitis: Radiological Insights in Two Cases with Distinct Cervical Origins
I. Kazouini, O. Fahir, Y. Bouktib, A. Elhajjami, B. Boutakioute, M. Ouali Idrissi, N. Cherif Idrissi Ganouni
Published: May 22, 2026 | 8 7
DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.064
Pages: 1138-1142
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Abstract
Descending necrotizing mediastinitis (DNM) is a life-threatening infection originating from cervical or oropharyngeal sources and spreading into the mediastinum through fascial planes. Early diagnosis relies heavily on imaging, particularly contrast-enhanced computed tomography (CT). We report two cases of DNM with distinct etiologies. In both cases, CT imaging revealed characteristic findings including mediastinal air collections, fat stranding, and cervical-to-mediastinal continuity of infection. CT imaging is the cornerstone for early diagnosis and assessment of DNM. Recognition of key imaging features is essential to guide urgent management and improve prognosis.