Shiozawa Kazue, Watanabe Manabu, Ikoma Akiko, Nagai Hidenari, Iida Kazunari, Ishii Koji, Igarashi Yoshinori, Sumino Yasukiyo, Miki Kazumasa
Department of Internal Medicine, Toho University Omori Medical Center, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2009 Mar;106(3):370-6.
A 62-year-old man was admitted to our hospital complaining of sore throat and epigastralgia. Laboratory tests revealed leukocytosis and an elevated CRP level. CT showed a low density area in the right hypopharynx, wall thickening of the esophageal and gastric wall with an intramural low density area. Phlegmonous esophagogastritis associated with hypopharyngeal abscess was diagnosed. The infection was extension and his condition was serious because of his accompanying poorly controlled diabetes. He was successfully treated by antibiotics and drainage of the hypopharyngeal abscess. CT was useful for early diagnosis, confirmation of the extent of inflammation and follow-up.
一名62岁男性因咽痛和上腹部疼痛入住我院。实验室检查显示白细胞增多和CRP水平升高。CT显示右下咽低密度区,食管和胃壁增厚,壁内低密度区。诊断为与下咽脓肿相关的蜂窝织炎性食管胃炎。由于伴有控制不佳的糖尿病,感染扩散且病情严重。通过抗生素治疗和下咽脓肿引流,他成功康复。CT有助于早期诊断、确定炎症范围及随访。