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Mediastinal abscess caused by a pyriform sinus fistula: Report of a case

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Abstract

A 13-year-old boy who originally presented with a left neck abscess rapidly developed a mediastinal abscess and empyema. Repetitive esophagography for the persistent mediastinal abscess revealed the existence of a pyriform sinus fistula. It was thought that infection of the pyriform sinus fistula precipitated a retropharyngeal abscess which continuously extended to the mediastinum. To our knowledge, no other such case has ever been reported and we present this unusual case herein, followed by a short review of the related literature.

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Authors and Affiliations

  1. The Second Department of Surgery, Nagoya City University Medical School, Kawasumi 1, Mizuho-cho, Mizuho-ku, 467, Nagoya, Japan

    Yosuke Yamakawa, Akira Masaoka, Makoto Kataoka, Syunzo Kobayashi, Hiroshi Niwa, Masao Iizuka & Ichiro Fukai

Authors
  1. Yosuke Yamakawa
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  2. Akira Masaoka
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  3. Makoto Kataoka
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  4. Syunzo Kobayashi
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  5. Hiroshi Niwa
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  6. Masao Iizuka
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  7. Ichiro Fukai
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Yamakawa, Y., Masaoka, A., Kataoka, M. et al. Mediastinal abscess caused by a pyriform sinus fistula: Report of a case. Surg Today 23, 462–464 (1993). https://doi.org/10.1007/BF00309508

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  • DOI: https://doi.org/10.1007/BF00309508

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