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Congenital pyriform sinus fistula: A cause of acute left-sided suppurative throiditis and neck abscess in children
Authors:Dr J Lucaya  W E Berdon  G Enriquez  J Regas  J C Carreno
Institution:(1) Department of Radiology, Hospital Infantil Vall d'Hebron, 08035 Barcelona, Spain;(2) Department of Surgery, Hospital Infantil Vall d'Hebron, 08035 Barcelona, Spain;(3) Department of Pediatric Radiology, Columbia-Presbyterian Medical Center, Babies Hospital, New York, New York, USA
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.
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