Complication Of Retropharyngeal Abscess Research Articles

Clivus Osteomyelitis as a Complication of Retropharyngeal Abscess in an Immunocompetent Adolescent.

Clivus Osteomyelitis as a Complication of Retropharyngeal Abscess in an Immunocompetent Adolescent.

Acute Phlegmonous Esophagitis as a Complication of Retropharyngeal Abscess

Acute Phlegmonous Esophagitis as a Complication of Retropharyngeal Abscess

Carotid artery occlusion secondary to retropharyngeal abscess treated with endovascular carotid sacrifice

Introduction: Carotid occlusion is a rare but serious complication of retropharyngeal abscess (RPA). Management questions that must be addressed include the choice between reconstruction and occlusion in the setting of an active infectious process. Case Report: A 4 year old female presented with hoarseness, shortness of breath, and a right-sided Horner’s syndrome. A CT scan confirmed the diagnosis of RPA, and contrast studies showed no filling in the right internal carotid artery (ICA). Surgical exploration of the abscess disrupted the occluded artery, causing deep, uncontrolled bleeding. Emergent angiographic evaluation was completed, and the decision was made to sacrifice the ICA. The patient recovered on antibiotics, but the Horner’s syndrome persisted. Discussion: The presence of a carotid artery occlusion must be ruled out in the setting of a RPA. When suspected, it should be investigated further. Therapeutic decisions regarding sacrifice or reconstruction of the carotid artery are burdened by risks associated with the setting of an infection, notably infection and systemic dissemination. Conclusion: The presence of a carotid occlusion is a serious complication resulting from a RPA that can lead to permanent neurological deficit. Endovascular vessel sacrifice is a viable treatment option for carotid occlusion in the setting of a retropharyngeal abscess, but must be considered on a case-by-case basis.

Retropharyngeal abscess sequel to swallowed mead bone

A 5 year old boy had meat bone traumatically dislodged from his pharynx by his mother. A retropharyngeal abscess developed five days later. Diagnosis was made on lateral xray of the neck. The abscess was successfully drained. Culture of abscess yielded Staphylococcus aureus and Escherichia coli. Complications of retropharyngeal abscess and modes of diagnosis are discussed. Keywords: retropharyngeal, abscess, meat bone, radiology, diagnosis West African Journal of Radiology Vol. 13(1) 2006: 18-21

Foreign body in upper digestive tract.

Foreign body ingestion is a common clinical problem, encountered in children. A total number of 104 patients with ingested foreign body admitted in our hospital are reviewed. Endoscopic removal was done for all foreign objects impacted in esophagus. In 84.6% cases, history of having swallowed the foreign body was most common symptom. Majority of patients (61.53%) presented within 24 hours after ingestion of foreign body. Coins were the most frequent offending agents in children (87.5%). Seventy six cases of coins were impacted in the postcricoid region. Complications of retropharyngeal abscess was seen in two cases (1.92%), which was associated with sharp foreign body. Early removal of these sharp foreign bodies must be considered to reduce the risk of this complication.

SEVERE HEMORRHAGE SECONDARY TO RETROPHARYNGEAL ABSCESS

A rare but often fatal complication of retropharyngeal abscess is hemorrhage due to erosion of the carotid artery or of one of its large branches. In the course of my training in otolaryngology a child aged 6 years was brought into the hospital on account of bleeding from the nose. She had been in poor health for two months. The lymph nodes on both sides of the neck had been enlarged for two weeks. Bleeding from the nose had been noted for the preceding twenty-four hours. A mass having a granular appearance was present in the nasopharynx. The leukocyte count was very high, and there were many immature cells. Consultants differed as to whether the condition was retropharyngeal abscess, malignant tumor or blood dyscrasia. Shortly after her admission to the hospital the child died of sudden profuse hemorrhage. At necropsy a small abscess high on the posterior pharyngeal wall was

The complications of retropharyngeal abscess

The complications of retropharyngeal abscess

FATAL HEMORRHAGE RESULTING FROM THE EXTENSION OF A RETROPHARYNGEAL ABSCESS TO THE DEEP VESSELS OF THE NECK

Erosion and perforation of the important blood vessels of the neck, as the result of extension to their coats of suppuration from surrounding tissues, are comparatively rare. A limited number of cases of fatal or very serious hemorrhage occurring in this way from the extension of deep cervical abscesses, especially those following scarlatina, have been recorded. In the present report I shall refer only to fatal or serious hemorrhage occurring as a complication of retropharyngeal abscess by the involvement of the deep cervical vessels, especially the internal carotid artery and the jugular vein. Although the number of cases reported is limited, the possibility of hemorrhage should always be borne in mind, because in such an event nothing but the most prompt intervention will save the patient's life. Moreover, a consideration of the clinical cases as well as of the anatomic conditions, which might almost be said to predispose to