DOI: https://dx.doi.org/10.18203/issn.2454-5929.ijohns20220817
Published: 2022-03-24

An unusual case of recurrent retropharyngeal abscess with incidental oesophageal fistula

Pankaj Kumar Sahu, Jitendra Bothra, Lovraj Goyal

Abstract


Retropharyngeal abscesses are infrequent in adults but they can lead to potentially fatal complications. These abscesses can lead to respiratory distress or extend to the mediastinum, requiring early diagnosis and aggressive management. We report a case of recurrent retropharyngeal abscess which required two times surgical drainage. An incidental oesophageal fistula found during evaluation which required endoscopic clipping making this case unusual.


Keywords


Retropharyngeal abscess, Oesophageal fistula, Deep neck space infection

Full Text:

PDF

References


Arora S, Sharma JK, Pippal SK, Yadav A, Najmi M, Singhal D. Retropharyngeal abscess following a gunshot injury. Braz J Otorhinolaryngol. 2009;75(6):909.

Marques PM, Spratley JE, Leal LM, Cardoso E, Santos M. Parapharyngeal abscess in children: five-year retrospective study. Braz J Otorhinolaryngol. 2009;75(6):826–830.

Ngan JH, Fok PJ, Lai EC, Branicki FJ, Wong J. A prospective study on fish bone ingestion: experience of 358 patients. Ann Surg. 1990;211(4):459-62.

Barratt GE, Koo Pmann CF, Coulthard SW. Retropharyngeal abscess-a ten-year experience. Laryngoscope. 1984;94:455-63.

Vieira F, Allen SM, Stocks RMS, Thompson JW. Deep neck infection. Otolaryngol Clin North Am. 2008;41(3):459-83.

Seid AB, Dunbar JS, Cotton RT. Retropharyngeal abscesses in children revisited. Laryngoscope. 1979;89(11):1717-24.

Berger S, Elidan J, Gay I. Retropharyngeal abscess caused by a traumatic perforation of the hypopharynx by a fishbone. Ann Otol Rhinol Laryngol. 1990;99:927-8.

Bosley RJ. Acute retropharyngeal abscess in children. Report of a case. Laryngoscope. 1962;72:207-17.

Delozier HL, Sofferman RA. Pyriform sinus fistula: An unusual case of recurrent retropharyngeal abscess and cellulitis. Ann Otol Rhinol Laryngol. 1986;95:77-382.

Sato K, Izumi T, Toshima M. Retropharyngeal abscess due to methicillin-resistant Staphylococcus aureus in a case of acute myeloid leukemia. Internal Med. 2005;44(4):346-9.

Ridder GJ, Technau-Ihling K, Sander A, Boedeker CC. Spectrum and management of deep neck space infections: an 8-year experience of 234 cases. Otolaryngol Head Neck Surg. 2005;133(5):709-14.

Freling N, Roele E, Schaefer Prokop C, Fokkens W. Prediction of deep neck abscesses by contrast-enhanced computerized tomography in 76 clinically suspect consecutive patients. Laryngoscope. 2009;119(9):1745-52.