Laababsi Rabii, Elbouhmadi Khadija, Bouzbouz Anas, Oukessou Youssef, Rouadi Sami, Abada Reda, Roubal Mohammed, Mahtar Mohammed
ENT Department, Face and Neck Surgery, Hospital August, 20'1953, University Hospital Centre IBN ROCHD, Casablanca, Morocco.
Ann Med Surg (Lond). 2020 Sep 9;59:64-67. doi: 10.1016/j.amsu.2020.08.051. eCollection 2020 Nov.
The pyriform sinus fistula is a rare condition described as an epithelialized tract connecting the skin of the neck to the foregut, and may result in cervical cysts and iterative abscesses misleading the diagnosis. The clinical and radiological examinations are all useful. Surgery stands as one of the most effective therapeutic options consisting on the total excision on the eventual cyst, and the fistula that is followed to its inner opening on the pyriform sinus. We present a case of a 3-years-old boy with a pyriform sinus fistula that caused recurrent neck abscesses treated independently delaying the diagnosis. Once in our structure, after radiological examination and antibiotics to cool the infection down, the surgery removed the cyst with its tract that opened in the pyriform sinus. The follow up showed an effective result with the total disappearance of the lesion with no more infectious episodes. Even if it's a rare condition, the diagnosis of apyriform sinus fistula must be considered in front of every patient with a history of recurrentlatero cervical abscess.
梨状窝瘘是一种罕见病症，被描述为连接颈部皮肤与前肠的上皮化管道，可能导致颈部囊肿和反复脓肿，从而误导诊断。临床和放射学检查均有用。手术是最有效的治疗选择之一，包括彻底切除最终的囊肿以及追踪至梨状窝内口的瘘管。我们报告一例3岁男孩患有梨状窝瘘，该瘘管导致反复颈部脓肿，诊断延误且治疗不及时。在我们的机构，经放射学检查和使用抗生素控制感染后，手术切除了在梨状窝开口的囊肿及其管道。随访显示效果良好，病变完全消失，无更多感染发作。即使这是一种罕见病症，对于每一位有复发性颈侧脓肿病史的患者，都必须考虑梨状窝瘘的诊断。
