Document Detail

Branchial-cleft sinus presenting with a retropharyngeal abscess for a newborn: a case report.
MedLine Citation:
PMID:  13680505     Owner:  NLM     Status:  MEDLINE    
A retropharyngeal abscess rarely occurs in the neonate. We report a neonate without apparent trauma who presented with a left neck mass and respiratory distress at the fourth day of age. A lateral neck X-ray revealed a widened retropharyngeal space. A neck computed tomography (CT) scan revealed a space-occupying lesion with air content in the left retropharyngeal area, although direct laryngoscopy, endoscopy, and a pharyngoesophagogram did not demonstrate the presence of any fistula tract. Due to the high index of suspicion for an aero-digestive tract fistula, diluted contrast medium was injected into the cyst while performing a CT-guided aspiration, and opacification was found in the oropharynx, thus a branchial-cleft sinus appeared to be most likely. The follow-up neck CT scan revealed no evidence of any recurrence. We suggest that CT-guided aspiration and cystography are useful for the diagnosis and treatment of some neonatal neck cystic lesions.
Chia-Chang Tsai; Chun Chung Lui; Mei-Yung Chung; Tan-Yung Ko
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  20     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-09-18     Completed Date:  2004-01-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-31     Citation Subset:  IM    
Department of Pediatrics, Chang Gung Children's Hospital, Kaohsiung, Taiwan, Republic of China.
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MeSH Terms
Anti-Infective Agents / therapeutic use
Biopsy, Fine-Needle
Branchial Region / radiography
Cysts / complications,  diagnosis,  radiography,  therapy
Diagnosis, Differential
Infant, Newborn
Respiratory Distress Syndrome, Newborn / diagnosis*,  etiology
Retropharyngeal Abscess / complications,  diagnosis*,  radiography,  therapy
Tomography, X-Ray Computed
Reg. No./Substance:
0/Anti-Infective Agents

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