Reesha Hawwa, Adhikari Prakash, Madeo Jennifer L
Internal Medicine, Piedmont Athens Regional Medical Center, Athens, USA.
Infectious Diseases, Piedmont Athens Regional Medical Center, Athens, USA.
Cureus. 2022 Jun 4;14(6):e25654. doi: 10.7759/cureus.25654. eCollection 2022 Jun.
The pyriform sinus fistula is very rare in adults, and it can present as recurrent deep neck space infection and abscess formation. The fistula results due to failure of obliteration of the third and fourth pharyngeal pouches. The diagnosis is often challenging, even with standard imaging techniques. We present a case of a patient who developed recurrent neck space infection and abscess formation. She was found to have a pyriform sinus fistula with fluoroscopy esophagram, although it was not seen with a standard contrast-enhanced computed tomography scan of the neck.
梨状窝瘘在成人中非常罕见，可表现为反复的颈部深部间隙感染和脓肿形成。该瘘是由于第三和第四咽囊闭锁失败所致。即使采用标准成像技术，诊断往往也具有挑战性。我们报告一例出现反复颈部间隙感染和脓肿形成的患者。通过荧光透视食管造影发现她患有梨状窝瘘，尽管在标准的颈部对比增强计算机断层扫描中未发现。
