Chronic
Most cases of granulomatous mediastinitis (75%) are incidentally found on chest x-rays which show a mediastinal mass, or widening of the mediastinum. Treatment
Treatment for acute mediastinitis usually involves aggressive intravenous antibiotic therapy and hydration. If discrete fluid collections or grossly infected tissue have formed (such as abscesses), they may have to be surgically drained or debrided.Treatment for DNM usually requires an operation to remove and drain infected necrotic tissue. Broad spectrum intravenous antibiotics are also given to treat the infection. Patients are typically managed in the intensive care unit due to the severity of the disease.Treatment for chronic fibrosing mediastinitis is somewhat controversial, and may include steroids or surgical decompression of affected vessels. Prognosis
Fibrosing mediastinitis can lead to entrapment of mediastinal structures. The mortality of DNM ranges from 10 to 40% due to sepsis and multi-organ failure if not recognized and intervened upon early. References
External links

Mediastinitis at the US National Library of Medicine Medical Subject Headings (MeSH)
A urethrovaginal fistula is an abnormal passageway that may occur the urethra and the vagina. It is a sub-set of vaginal fistulas. It results in urinary incontinence as urine continually leaves the vagina. It can occur as an obstetrical complication, catheter insertion injury or a surgical injury.It is also called a urethral fistula and may be referred to as UVF. They are quite rare. In the developed world, they are typically due to injuries due to medical activity. == References ==