Abstract
Acute bacterial thyroiditis or neck abscesses in children can be caused by infection through pyriform sinus fistulae which usually originate from the tip of the left pyriform sinus. They are thought to be remnants of either the third or fourth pharyngeal pouches. CT, ultrasound and gastrointestinal contrast studies are all useful in clarifying the pathological process and showing the extent.
Similar content being viewed by others
References
Tucker HM, Skolnick ML (1983) Fourth branchial cleft remnant. Trans Am Acad Ophthalmol Otol 77: 368
Takai S, Miyauchi A, Matsuzuka F, Kuma K, Kosaki G (1979) Internal fistula as a route of infection in acute suppurative thyroiditis. Lancet I: 751
Miyauchi A, Matsuzuka F, Takai S, Kuma K, Kosaki G (1981) Pyriform sinus fistula: a route of infection in acute suppurative thyroiditis. Arch Surg 116: 66
Abe K, Fujita H, Matsuura N (1981) A fistula from pyriform sinus in recurrent acute suppurative thyroiditis. Am J Dis Child 135: 178
Taylor WE, Mayer C, Hays LL, Cotton RT (1982) Acute suppurative thyroiditis in children. Laryngoscope 92: 1269
Miller D, Hill JL, Sun CC, O'Brien DS, Haller JA (1983) The diagnosis and management of pyriform sinus fistulae in infants and young children. J Pediatr Surg 1821: 377
Hirata A, Saito S, Tsuchida Y, Hazama H, Iwanaka T, Shima K, Hori T (1984) Surgical management of pyriform sinus fistula. Am Surg 50: 454
Tanyel FC, Cakmak O, Caglar M, Balkanci F (1986) Fourth pharyngeal pouch remnant presented as a neck mass. Z Kinderchir 41: 360
Kartheuser A, Claus D, Gosseye S, Otte JB (1986) Les fistules de la 3e de la 4e fente branchiale. Chir Pediatr 27: 50
DeLozier HL, Sofferman Ra (1986) Pyriform sinus fistula: an unusual cause of recurrent retropharyngeal abscess and cellulitis. Ann Otol Rhinol Laryngol 95: 377
Makino S, Tsuchida Y, Yoshioka H, Saito S (1986) The endoscopic and surgical management of pyriform sinus fistulae in infants and children. J Pediatr Surg 121: 398
Manch Y, Morrisseau MP, Perrin A, Aboucaya JP, Roulleau P (1988) Le fond du sinus piriforme dans le traitement chirurgical des fistules de la quatrieme poche endobranchiale. Ann Oto-Laryng (Paris) 105: 189
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lucaya, J., Berdon, W.E., Enriquez, G. et al. Congenital pyriform sinus fistula: A cause of acute left-sided suppurative throiditis and neck abscess in children. Pediatr Radiol 21, 27–29 (1990). https://doi.org/10.1007/BF02010809
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02010809