화농성 갑상선염을 합병한 이상와 누공(Piriform sinus fistula)의 화학소작술 치험 1례

Abstract

요 약 저자들은 발열과 경부 종괴로 내원한 23개월 여아에서 화농성 갑상선염을 동반한 이상와 누공을 진단하여 항생제와 화학소작술로 치료하여, 문헌 고찰과 함께 보고하는 바이다.

A 23 months-old girl visited the hospital because of fever and left neck mass. She was diagnosed as acute suppurative thyroiditis with piriform sinus fistula. Thyroid sonography showed perithyroidal abscess formation and thyroid scan showed decreased uptake of Tc-99m pertechnate of both thyroid glands. Magnetic resonance imaging of neck showed abscess cavity extending to the swollen left thyroid gland. And there was tiny fistula between thyroid and piriform sinus in the barium esophagogram. Streptococcus gordonii was isolated on needle aspiration culture. We report a case of piriform sinus fistula of the neck complicated with suppurative thyroiditis. The fistula was treated with chemocauterization using trichloroacetic acid.