Recurrent suppurative thyroiditis due to pyriform sinus fistula: a case report
Tóm tắt
Acute suppurative thyroiditis is a rare disease, particularly in childhood. We present a case with recurrent acute suppurative thyroiditis due to a pyriform sinus fistula originating from the fourth branchial pouch. The typical symptoms of a piriform sinus fistula are recurrent left-sided pain and swelling of the neck with signs of acute bacterial inflammation. Diagnosis should be made by high resolution ultrasound, barium meal studies and endoscopic examination. During acute exacerbations treatment with antibiotics is indicated, but permanent cure can only be attained by complete fistulectomy.
Tài liệu tham khảo
Babbitt DP, Glicklich M (1970) Barium swallow aids diagnosis of recurrent neck abscess. Medical Tribune-World Wide Report 54 (1): Oct 26
DeLozier HL, Sofferman RA (1986) Pyriform sinus fistula: an unusual cause of recurrent retropharyngeal abscess and cellulitis. Ann Otol Rhinol Laryngol 95: 377–382
Herman TE, McAlister WH, Siegel MJ (1992) Branchial fistula: CT manifestations. Pediatr Radiol 22: 152–153
Lin JN, Wang KL (1991) Persistent third branchial apparatus. J Pediatr Surg 26: 663–665
Lucaya J, Berdon WE, Enriquez G, Regas J, Carreno JC (1990) Congenital pyriform sinus fistula: a cause of acute left-sided suppurative thyroiditis and neck abscess in children [see comments]. Pediatr Radiol 21: 27–29
Makino S, Tsuchida Y, Yoshioka H, Saito S (1986) The endoscopic and surgical management of pyriform sinus fistulae in infants and children. J Pediatr Surg 21: 398–401
Miller D, Hill L, Sun C, O'Brien DS, Haller JA (1983) The diagnosis and management of pyriform sinus fistula in infants and young children. J Pediatr Surg 18: 377–381
Miyauchi A, Matsuzuka F, Kuma K, Takai S (1990) Piriform sinus fistula: an underlying abnormality common in patients with acute suppurative thyroiditis. World J Surg 14: 400–405
Miyauchi A, Matsuzuka F, Takai S, Kuma K, Kosaki G (1981) Piriform sinus fistula-a route of infection in acute suppurative thyroiditis. Arch Surg 116: 66–69
Takai S, Mattsuzuks F, Miyauchi A, Kuma K, Kosaki G (1979) Internal fistula as a route of infection in acute suppurative thyroiditis. Lancet 1: 751–752