Yamakawa Y, Masaoka A, Kataoka M, Kobayashi S, Niwa H, Iizuka M, Fukai I
Second Department of Surgery, Nagoya City University Medical School, Japan.
Surg Today. 1993;23(5):462-4. doi: 10.1007/BF00309508.
A 13-year-old boy who originally presented with a left neck abscess rapidly developed a mediastinal abscess and empyema. Repetitive esophagography for the persistent mediastinal abscess revealed the existence of a pyriform sinus fistula. It was thought that infection of the pyriform sinus fistula precipitated a retropharyngeal abscess which continuously extended to the mediastinum. To our knowledge, no other such case has ever been reported and we present this unusual case herein, followed by a short review of the related literature.
