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KMID : 0371319930440061066
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Journal of the Korean Surgical Society
1993 Volume.44 No. 6 p.1066 ~ p.1071
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Acute Suppurative Thyroiditis Associated with Piriform Sinus Fistula
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Abstract
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We report a case of acute suppurative thyroiditis associated with a left piriform fossa-thyroid fistula. We feel it is important to report this condition because it may not be as rare as is though and could easily go undetected unless a barium
swallowing study is performed.
A 12 year old male patients had a painful swelling of the left anterior neck and fever was seen at his first episoide of the disease. A barium meal revealed a fistula originating from the apex of the left piriform sinus. The fistula, a remnatn of
the
fourth pharyngeal pouch, thus seems to be a common route o infection in aucte ssuppurative thryoiditis, following bacterial infection to begin in the perithyroidal space and spread to the thyroid gland. Complete extripation of the fistula is
require for
a permenant cure.
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