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Tubercular Retropharyngeal Abscess in Association with Aberrant Retropharyngeal Internal Carotid Arteries - A Rare Entity: Imaging Diagnosis and a Word of Caution

Retropharyngeal (RP) abscess is rarely encountered in adults. Still rare is an abscess of tubercular etiology especially without involvement of the underlying cervical spine. We present a case of an immunocompetent woman with a tubercular RP abscess diagnosed on contrast-enhanced cervical computed t...

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Published in:Turkish Archives of Otorhinolaryngology 2019-03, Vol.57 (1), p.50-53
Main Authors: Bhatt, Shuchi, Malla, Deepawali, Mukhija, Deepti, Arora, Vipin, Tandon, Anupama, Sharma, Sonal
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container_title Turkish Archives of Otorhinolaryngology
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Malla, Deepawali
Mukhija, Deepti
Arora, Vipin
Tandon, Anupama
Sharma, Sonal
description Retropharyngeal (RP) abscess is rarely encountered in adults. Still rare is an abscess of tubercular etiology especially without involvement of the underlying cervical spine. We present a case of an immunocompetent woman with a tubercular RP abscess diagnosed on contrast-enhanced cervical computed tomography and confirmed on cytology. Another interesting feature was an aberrant RP course of the internal carotid arteries in this patient. This case report stresses the importance of imaging in establishing an unexpected diagnosis of an RP abscess, suggesting its likely cause, and also in demonstrating the aberration in regional vascular anatomy, and warns the clinician of life-threatening hemorrhagic complication in the event of any diagnostic or therapeutic intervention.
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subjects carotid artery
diagnostic imaging
retropharyngeal abscess
tuberculosis
title Tubercular Retropharyngeal Abscess in Association with Aberrant Retropharyngeal Internal Carotid Arteries - A Rare Entity: Imaging Diagnosis and a Word of Caution
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