Supraglottic retropharyngeal abscess

Case contributed by Dr Steve Lau

Presentation

Sore throat associated with left neck mass

Patient Data

Age: 49
Gender: Female
CT

Soft tissue neck

CT neck shows a retropharyngeal rim enhancing collection extending from oropharynx to the level of glottis with no infraglottic extent. There is extensive inflammatory flat stranding involving bilateral carotid spaces as well as left anterior and posterior triangles of neck up to supraclavicular region.

There is multiple enlarged left sided cervical chain lymph nodes. The right internal jugular vein is effaced mostly at level C1/2.

Case Discussion

Retropharyngeal abscess can extend all the way to the superior mediastinum. It thought to form as a complication from tonsillitis, pharyngitis or other head and neck infection. 

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Case information

rID: 28718
Case created: 9th Apr 2014
Last edited: 17th Jun 2016
System: Head & Neck
Inclusion in quiz mode: Included

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