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Retropharyngeal abscess

USU Teaching File MUTF - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Retropharyngeal abscess

History: Patient reported 1 ? weeks of sore neck and mild throat pain that became acutely severe the night prior to initial presentation. Patient complained of inability to move neck secondary to pain and mother noticed left sided neck fullness and reported intermittent fevers. On presentation, a lateral X-ray showed increased retropharyngeal space width and CT demonstrated phlegmon vs. abscess. Patient was I/D’d 2 days prior to this study with no pus drainage and no clinical improvement. Patient was started on IV clindamycin on admission.

Findings: The is an irregularly margined fluid collection in left lateral retropharyngeal space measuring 1.3 x 2.7 cm at its level of greatest area in the axial plane. Although the slice thickness is not noted the lesion extends from the nasopharynx to the oropharynax and in all likelyhood inferiorly in the retropharyngeal space. There is only minimal enchancement of the margin of the lesion.

Ddx: Retropharyengeal abscess, cellulitis, necrotic liquifactive lymph nodes branchial cleft cyst.

Dxhow: Incision and drainage

Exam: Left sided neck fullness with tenderness to palpation. Positive throat erythema/edema. Otherwise unremarkable. \16/ 9.9-------245 /46\

No MeSH data available.


Irregularly margined fluid collection in left lateral retropharyngeal space measuring 1.3 x 2.7 cm in AP and transverse dimension.  Not well circumscribed or encapsulated.
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MPX2330_synpic15183: Irregularly margined fluid collection in left lateral retropharyngeal space measuring 1.3 x 2.7 cm in AP and transverse dimension. Not well circumscribed or encapsulated.


Retropharyngeal abscess

USU Teaching File MUTF - MedPix (2006)

Irregularly margined fluid collection in left lateral retropharyngeal space measuring 1.3 x 2.7 cm in AP and transverse dimension.  Not well circumscribed or encapsulated.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2330&req=5

MPX2330_synpic15183: Irregularly margined fluid collection in left lateral retropharyngeal space measuring 1.3 x 2.7 cm in AP and transverse dimension. Not well circumscribed or encapsulated.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Retropharyngeal abscess

History: Patient reported 1 ? weeks of sore neck and mild throat pain that became acutely severe the night prior to initial presentation. Patient complained of inability to move neck secondary to pain and mother noticed left sided neck fullness and reported intermittent fevers. On presentation, a lateral X-ray showed increased retropharyngeal space width and CT demonstrated phlegmon vs. abscess. Patient was I/D’d 2 days prior to this study with no pus drainage and no clinical improvement. Patient was started on IV clindamycin on admission.

Findings: The is an irregularly margined fluid collection in left lateral retropharyngeal space measuring 1.3 x 2.7 cm at its level of greatest area in the axial plane. Although the slice thickness is not noted the lesion extends from the nasopharynx to the oropharynax and in all likelyhood inferiorly in the retropharyngeal space. There is only minimal enchancement of the margin of the lesion.

Ddx: Retropharyengeal abscess, cellulitis, necrotic liquifactive lymph nodes branchial cleft cyst.

Dxhow: Incision and drainage

Exam: Left sided neck fullness with tenderness to palpation. Positive throat erythema/edema. Otherwise unremarkable. \16/ 9.9-------245 /46\

No MeSH data available.