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KMID : 0604620080150020233
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Dongguk Journal of Medicine
2008 Volume.15 No. 2 p.233 ~ p.238
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A Case of Thyroid Adscess Caused by Pyriform Sinus Fistula
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Lee Young-Sil
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Abstract
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Acute suppurative thyroiditis or thyroid abscess is a rare clinical disorder. A rich blood supply, a generous lymphatic drainage, a high iodine level that inhibits bacterial growth, and a complete, protective capsule are factors that have been considered to contribute the relatively high resistance of the thyroid gland to infection. Congenital pyriform sinus fistula, probably a remnant of the third or fourth branchial cleft has recently been recognized as a underlying cause of acute suppurative thyroiditis or thyroid abscess. I present a case of thyroid abscess and perithyroid abscess with pyriform sinus fistula, diagnosed by esophagography.
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KEYWORD
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thyroid abscess, pyriform sinus fistula, branchial cleft cyst
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