Retropharyngeal abscess with mediastinal extension

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Fever, chest pain.

Patient Data

Age: 40
Gender: Female
CT

CT neck and upper chest

There is air tracking in the neck along the left retropharyngeal space and left anterior cervical spaces continues at the superior and middle mediastinum till infracarina region encircling the trachea and esophagus forming dependent air fluid levels and showing marginal enhancement.

Case Discussion

This case demonstrates retropharyngeal abscess with inferior extension into the mediastinum resulting in mediastinitis with abscess formation.

It is considered a surgical emergency with high mortality rate. It can be primarily from structures in the mediastinum (often as a result of iatrogenic injury) or may result from an infection extending downward from the oropharynx, in which case it is called descending necrotizing mediastinitis (DNM). 

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Case information

rID: 53181
Case created: 4th May 2017
Last edited: 1st Jun 2017
Systems: Chest, Head & Neck
Inclusion in quiz mode: Included

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