Cervical abscess

Case contributed by Dr Bruno Di Muzio

Presentation

Right side neck swelling, had ultrasound that showed a 4.5 cm solid-cyst mass deep to the right sternocleidomastoid muscle. Necrotic lymph node? Abscess?

Patient Data

Age: 34-year-old
Gender: Male
CT

CT Neck

There is a multilobulated predominantly hypo attenuated mass extending under the right sternocleidomastoid muscle, from the posterior cervical space to the submandibular space anteriorly, involving the regions of the IIB and III lymph nodes levels, displacing the structures of the carotid and pharyngeal spaces medially and the right submandibular salivary gland anteriorly. This mass measures approximately 6.8 x 4.8 x 5.2 cm (longitudinal x anteroposterior x transverse) and demonstrates a vivid peripheral contrast enhancement. Extensive involvement of the prevertebral space from C1 to C7.

Some prominent lymph nodes with normal morphology are present bilaterally. Bilateral

There remainder cervical structures are unremarkable.

No bony suspicious lesions.

Case Discussion

The findings are those of a large deep cervical parapharyngeal abscess on the right with extension to the prevertebral space.

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Case information

rID: 43725
Case created: 23rd Mar 2016
Last edited: 17th Apr 2017
System: Head & Neck
Tag: rmh
Inclusion in quiz mode: Included

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