The role of ultrasound and oesophagography in the management of acute suppurative thyroiditis in children associated with congenital pyriform fossa sinus

The thyroid is remarkably resistant to infection. Hence, when an infection does occur, the presence of a pyriform fossa sinus must be considered, particularly if it is recurrent and left sided. The aim of this paper is to alert radiologists to the existence, clinical presentation, and ultrasonograph...

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Bibliographic Details
Published in:Clinical radiology 1998-03, Vol.53 (3), p.209-211
Main Authors: Ahuja, A.T., Griffiths, J.F., Roebuck, D.J., Loftus, W.K., Lau, K.Y., Yeung, C.K., Metreweli, C.
Format: Article
Language:English
Subjects:
Abscess - diagnostic imaging
Abscess - etiology
Acute Disease
Biological and medical sciences
Child
Child, Preschool
Ent, orbit
Esophagus - diagnostic imaging
Female
Fistula - complications
Fistula - congenital
Fistula - diagnostic imaging
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laryngeal Diseases - complications
Laryngeal Diseases - congenital
Laryngeal Diseases - diagnostic imaging
Male
Medical sciences
Otorhinolaryngology. Stomatology. Orbit
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radiography
Respiratory Tract Fistula - complications
Respiratory Tract Fistula - congenital
Respiratory Tract Fistula - diagnostic imaging
Thyroid Diseases - complications
Thyroid Diseases - congenital
Thyroid Diseases - diagnostic imaging
Thyroiditis, Suppurative - diagnostic imaging
Thyroiditis, Suppurative - etiology
Ultrasonic investigative techniques
Ultrasonography
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Summary:The thyroid is remarkably resistant to infection. Hence, when an infection does occur, the presence of a pyriform fossa sinus must be considered, particularly if it is recurrent and left sided. The aim of this paper is to alert radiologists to the existence, clinical presentation, and ultrasonographic and oesophagographic appearances of a pyriform fossa sinus. We present the role of ultrasound and oesophagography in five children with pyriform fossa sinus associated with suppurative thyroiditis. In four children the abnormality was on the left and on the right in one.
ISSN:0009-9260
1365-229X
DOI:10.1016/S0009-9260(98)80102-5