Left supraglottic collection with airway compromise

Case contributed by Dr Steve Lau

Presentation

Patient presented to ED with left parapharyngeal swelling and pain.

Patient Data

Age: 49
Gender: Female

CT neck

Modality: CT

CT neck shows a left paraglottic rim enhancing low density collection with epicentre at level of hyoid bone. The collection extends cephalad to level of the left faucal tonsil and extends inferiorly to the lamina of the left thyroid cartilage. 

There is extensive surrounding soft tissue oedema with effacement of left piriform sinus and laryngo-pharynx displaced to the right with airway narrowing greatest at infrahyoid level.

Case Discussion

Patient's admission bloods show a raised WCC of 11.5. An US guided drainage of the collection was performed which cultured mixed anaerobes confirming an abscess.

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Case Information

rID: 28825
Case created: 14th Apr 2014
Last edited: 26th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

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