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Piriform Sinus Fistula as a Route of Infection in Acute Suppurative Thyroiditis Mitsuru Furukawa 1 1Department of Otorhinolaryngolog, School of Medicine, Kanazawa University pp.297-301
Published Date 1986/4/20
DOI https://doi.org/10.11477/mf.1492210119
  • Abstract
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 A 5-year-old patient presented an acute painful tumor in the anterior part of the neck. It was a diffuse, firm tumor with warm erythematous skin, and the laboratory, radiologic findings showed acute inflammation of the left thyroid lobe.

 Barium swallow showed a very thin fistula originating from the apex of the left piriform sinus extending anteroinferiorly. This fistula was considered to be a route of infection in acute suppurative thyroiditis, allowing bacterial infection in the perithyroidal space and spread to the thyroid gland.

 The complete fistulectomy was required for parmanent cure, but administration of antibiotics was also very effective in this case.


Copyright © 1986, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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