A Case of Retropharyngeal Abscess Resulting from Infected Paratracheal Cyst

A paratracheal cyst is an air-filled cyst lined by a ciliated epithelium, commonly referred to as a tracheal diverticulum. The most common location of paratracheal cysts is the right side of posterolateral tracheal wall. It occurs in 0.3% to 8.1% of the total population. Most paratracheal cysts are asymptomatic and discovered incidentally on routine radiologic examination. Rarely, however, symptoms such as cough or fever are encountered and chronic infection of the paratracheal cyst usually present itself like a tucoberculosis or a tumor. There are few case reports of deep neck infection caused by a paratracheal cyst. We report a case of retropharyngeal abscess resulting from an infected paratracheal cyst.

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Deep neck infection and descending mediastinitis as lethal complications of dentoalveolar infection: two rare case reports

Journal of Medical Case Reports ◽

10.1186/s13256-018-1724-x ◽

2018 ◽

Vol 12 (1) ◽

Cited By ~ 2

Author(s):

Bamidele Johnson Alegbeleye

Keyword(s):

Rare Case ◽

Case Reports ◽

Deep Neck Infection ◽

Neck Infection ◽

Lethal Complications ◽

Descending Mediastinitis

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Foreign Body Ingestion: Rare Cause of Cervical Abscess

Acta Médica Portuguesa ◽

10.20344/amp.5371 ◽

2014 ◽

Vol 27 (6) ◽

pp. 743 ◽

Cited By ~ 5

Author(s):

Liliana Costa ◽

João Larangeiro ◽

Carla Pinto Moura ◽

Margarida Santos

Keyword(s):

Foreign Body ◽

Rare Complication ◽

Flexible Endoscopy ◽

Retropharyngeal Abscess ◽

Foreign Body Ingestion ◽

Deep Neck Infection ◽

Diagnostic Challenge ◽

Foreign Body Removal ◽

Neck Infection ◽

Rigid Esophagoscopy

Introduction: Foreign body ingestion is a frequent emergency occurrence. Serious complications, although rare, include pharyngooesophageal perforation, aorto-oesophageal fistula and deep neck infection. Material and Methods: A retrospective review was performed of all cases of foreign body ingestion requiring hospitalization between 1989 and 2011, in a tertiary Hospital. Cases complicated by deep cervical abscess were selected and their clinical presentation, results of diagnostic exams, therapeutics and clinical evolution are presented. Results: Among a total of 1679 cases, 319 were related to pediatric patients and 1360 to adults. Two cases were reported (0.12%): an adult, 41 years-old, with parapharyngeal abscess subsequent to fishbone ingestion, and a child, 13 months-old, with retropharyngeal abscess consequent to chicken bone ingestion. Complications appeared three and four days after foreign body removal, respectively. In both situations cervical computerized tomography scan with contrast and surgical drainage were accomplished; the child was also submitted to rigid esophagoscopy for residual foreign body removal and closure of the associated pharyngeal laceration. Discussion: Deep cervical abscesses are an uncommon but possible complication of foreign body ingestion and constitute a diagnostic challenge, particularly in children. Previous oesophageal manipulation by flexible endoscopy may be considered a risk factor for such complication. Imagiological studies proved to be crucial for diagnosis and therapeutic planning. Conclusion: Although a rare complication, given a recent history of foreign body ingestion/removal and the presence of compatible symptoms, cervical abscesses should be taken into account, highlighting their potential morbimortality in the absence of an appropriate therapeutic approach. Keywords: Foreign Body; Abscess; Esophagoscopy; Neck.

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Acute Retropharyngeal Abscess Masquerading as Meningitis

Journal of Nepal Medical Association ◽

10.31729/jnma.2993 ◽

2017 ◽

Vol 56 (205) ◽

pp. 186-188 ◽

Cited By ~ 1

Author(s):

Pirabu Sakthivel ◽

Rijendra Yogal ◽

Hitesh Verma ◽

Anil Saini ◽

Ashwin Chandran

Keyword(s):

Airway Obstruction ◽

High Index ◽

Retropharyngeal Abscess ◽

Deep Neck Infection ◽

Imaging Studies ◽

X Ray ◽

Neck Infection ◽

High Index Of Suspicion ◽

Physical Findings ◽

Prompt Diagnosis

Retropharyngeal abscess is a potentially serious deep neck space infection occurring more frequently in children than in adults. The clinical picture of RPA is highly variable with paucity of physical findings. Prompt diagnosis of RPA especially in infants is mandatory to prevent potential fatal complications including airway obstruction. The diagnosis of RPA should be based on high index of clinical suspicion with supportive imaging studies like lateral X-ray of neck and CT. We present a case of acute retropharyngeal abscess which was initially misdiagnosed as meningitis and led to airway obstruction. This case is reported to create awareness among emergency physicians, paediatricians and otolaryngologists to have high index of suspicion in diagnosing RPA especially in infants. Keywords: retropharyngeal abscess; meningitis; deep neck infection.

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Retropharyngeal abscess rare presentation in a 11 months old infant: a case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20171210 ◽

2017 ◽

Vol 3 (2) ◽

pp. 443

Author(s):

Roa T. Halawani ◽

Bayan Aboshargyah

Keyword(s):

Case Report ◽

Young Children ◽

Unusual Presentation ◽

Retropharyngeal Abscess ◽

Deep Neck Infection ◽

Rare Presentation ◽

Neck Infection

Retropharyngeal abscess (RPA) is a rare deep neck infection that usually affects young children. It is the most common deep neck infection in children. We would like to present this case because of unusual presentation at this age.

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Clinical Characteristics of Medically Intractable Deep Neck Infection Patients

Korean Journal of Otolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2009.52.1.62 ◽

2009 ◽

Vol 52 (1) ◽

pp. 62 ◽

Cited By ~ 6

Author(s):

Kyoungrai Cho ◽

Youngsam Yoo

Keyword(s):

Clinical Characteristics ◽

Deep Neck Infection ◽

Neck Infection

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A dangerous cause of airway obstruction: deep neck infection

10.22514/sv.2020.16.0101 ◽

2020 ◽

Keyword(s):

Airway Obstruction ◽

Upper Airway ◽

Deep Neck Infection ◽

Jugular Vein Thrombosis ◽

Neck Infection ◽

Vein Thrombosis ◽

Lethal Complications ◽

Life Threatening ◽

Fascial Spaces ◽

Emergency Doctors

Deep neck infection (DNI) is an infection in the fascial spaces of the neck. Complications of DNI, including mediastinitis, internal jugular vein thrombosis, and upper airway obstruction, are severe and potentially life threatening. Therefore, early identification and accurate management of DNI are essential. We review the anatomy of the deep spaces of the neck to determine the route of DNI spread so that emergency doctors, physicians, and otorhinolaryngologists can quickly recognize the development of lethal complications of DNI, such as asphyxia from airway obstruction.

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Cephalad misplacement of a pulmonary artery catheter in a patient with a preexisting Hickman catheter

BMC Anesthesiology ◽

10.1186/s12871-021-01254-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Hoon Choi ◽

Joon Pyo Jeon ◽

Jaewon Huh ◽

Youme Kim ◽

Wonjung Hwang

Keyword(s):

Mitral Valve ◽

Pulmonary Artery ◽

Pulmonary Artery Catheter ◽

Case Reports ◽

Mitral Valve Regurgitation ◽

Catheter Insertion ◽

Routine Practice ◽

Hickman Catheter ◽

Risk Patients ◽

The Right

Abstract Background Pulmonary artery catheter insertion is a routine practice in high-risk patients undergoing cardiac surgery. However, pulmonary artery catheter insertion is associated with numerous complications that can be devastating to the patient. Incorrect placement is an overlooked complication with few case reports to date. Case presentation An 18-year-old male patient underwent elective mitral valve replacement due to severe mitral valve regurgitation. The patient had a history of synovial sarcoma, and Hickman catheter had been inserted in the right internal jugular vein for systemic chemotherapy. We made multiple attempts to position the pulmonary artery catheter in the correct position but failed. A chest radiography revealed that the pulmonary artery catheter was bent and pointed in the cephalad direction. Removal of the pulmonary artery catheter was successful, and the patient was discharged 10 days after the surgery without complications. Conclusions To prevent misplacement of the PAC, clinicians should be aware of multiple risk factors in difficult PAC placement, and be prepared to utilize adjunctive methods, such as TEE and fluoroscopy.

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A Rare Case Report of Unusual Path of Left Internal Jugular Central Line

Dubai Medical Journal ◽

10.1159/000513278 ◽

2021 ◽

pp. 1-3

Author(s):

Rajashekar Rangappa Mudaraddi ◽

Hany Fawzi Greiss ◽

Navin Kumar Manickam

Keyword(s):

Superior Vena Cava ◽

Case Reports ◽

Superior Vena ◽

Vena Cava ◽

Central Line ◽

Left Superior Vena Cava ◽

Common Procedure ◽

Rare Case Report ◽

The Right ◽

Line Path

Central venous cannulation is the most common procedure performed in perioperative setting and intensive care unit. Many case reports reported unusual positioning of central line catheters. Here, we would like to report a case of central line path in persistent left superior vena cava, a rare entity with a course similar to the right internal jugular central line. Preoperative computed tomography chest showed duplex superior vena cava which was not reported.

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Delayed Extradural Hematoma after Evacuation of Contralateral Acute Extradural Hematoma

Indian Journal of Neurotrauma ◽

10.1055/s-0040-1713722 ◽

2020 ◽

Author(s):

Majid Anwer ◽

Atique Ur Rehman ◽

Farheen Ahmed ◽

Satyendra Kumar ◽

Md Masleh Uddin

Keyword(s):

Computed Tomography ◽

Ct Scan ◽

Postoperative Period ◽

Road Traffic ◽

Case Reports ◽

Mass Effect ◽

Extradural Hematoma ◽

Traumatic Head Injury ◽

Neurologic Deterioration ◽

The Right

Abstract Introduction Traumatic head injury with extradural hematoma (EDH) is seen in 2% of patients. Development of EDH on the contralateral side is an uncommon complication that has been reported in various case reports. Case Report We report here a case of an 18-year-old male who had a road traffic injury. He was diagnosed as a case of left-sided large frontotemporoparietal acute extradural bleed with a mass effect toward the right side. He was managed with urgent craniotomy and evacuation of hematoma. A noncontrast computed tomography (NCCT) scan performed 8 hours after postoperative period showed a large frontotemporoparietal bleed on the right side with a mass effect toward the left side. He was again taken to the operating room and right-sided craniotomy and evacuation of hematoma were performed. A postoperative NCCT scan revealed a resolved hematoma. The patient made a complete recovery in the postoperative period and is doing well. Conclusion Delayed onset epidural hematoma is diagnosed when the initial computed tomography (CT) scan is negative or is performed early and when late CT scan performed to assess clinical or ICP deterioration shows an EDH. The diagnosis of such a condition requires a high index of suspicion based on the mechanism of injury along with fracture patterns. Additionally, change in pupillary size, raised intracranial pressure, and bulging of the brain intraoperatively are additional clues for contralateral bleeding. Neurologic deterioration may or may not be associated with delayed EDH presentation. An early postoperative NCCT scan within 24 hours is recommended to detect this complication with or without any neurologic deterioration.

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