Parapharyngeal abscess

Case contributed by Dr David Cuete

Presentation

fever, odynophagia

Patient Data

Age: 10
Gender: Female
CT

CT neck

Computed tomography shows a lesion that has a hypodense center with peripheral ring enhancement and irregular borders. There are adjacent inflammatory processes that compromise the ipsilateral parapharyngeal space, retropharyngeal and prevertebral region reaching the level C4, probably determined by cellulitis. Prominent tonsils with homogenous enhancement without hypodense areas in thickness. Right deep cervical lymphadenopathy of reactive aspect, reaching 1.5 cm, with homogenous enhancement. Right parotid gland enlarged with heterogeneous structure.

Case Discussion

Findings support right parapharyngeal abscess with associated inflammatory changes in retropharyngeal and prevertebral region.

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Case information

rID: 23089
Case created: 21st May 2013
Last edited: 7th May 2016
Inclusion in quiz mode: Included

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