Pediatric Radiology

, Volume 31, Issue 2, pp 84–86 | Cite as

CT findings of descending necrotising mediastinitis via the carotid space (’Lincoln Highway')

  • T. Kono
  • A. Kohno
  • S. Kuwashima
  • F. Iimura
  • M. Fujioka
  • R. Miyata
  • Y. Mizusawa
  • F. Kagawa
  • S. Kaneko
  • Y. Yoshino
  • M. Misawa
  • M. Ito
  • M. Otsuka
  • I. Seki
Original article

Abstract

A 3-year-old girl with fever and neck swelling showed widening of the superior mediastinum on chest radiographs. Contrast-enhanced CT of the neck revealed ill-defined low-attenuation areas with a thick, enhanced rim adjacent to the hypertrophied palatine tonsil. The abscess extended inferiorly within the carotid sheath between the carotid artery and the internal jugular vein into the anterior mediastinum. The carotid space is considered an important conduit of descending necrotising mediastinitis and is called the ’Lincoln Highway' as previously suggested.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • T. Kono
    • 1
  • A. Kohno
    • 1
  • S. Kuwashima
    • 1
  • F. Iimura
    • 1
  • M. Fujioka
    • 1
  • R. Miyata
    • 2
  • Y. Mizusawa
    • 2
  • F. Kagawa
    • 2
  • S. Kaneko
    • 2
  • Y. Yoshino
    • 2
  • M. Misawa
    • 2
  • M. Ito
    • 2
  • M. Otsuka
    • 2
  • I. Seki
    • 2
  1. 1.Department of Radiology, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi, Japan e-mail: t-kono@dokkyomed.ac.jp Tel.: + 81-2 82-87 21 71 Fax: + 81-2 82-86 49 40JP
  2. 2.Department of Pediatrics, Tokyo Metropolitan Bokuto General Hospital, Tokyo, JapanJP

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