PDF(Pubmed)
Abstract：
Branchiogenic fistulas are congenital alterations that affect the cervical compartments. Those of the fourth branchial cleft are rarest and can begin late with very serious complications. The suppurative thyroiditis can be a complication of these alterations. We describe a case of 3-year-old girl with high fever, left cervical swelling and increased inflammation indices. The neck ultrasound showed an abscess of the left thyroid lobe and a fluid mass with aerial content in laterocervical region. On MRI, the fluid mass extended from the left piriform sinus to the mediastinum. Fluoroscopy also highlighted a fistolose trait that extended from the left side wall of the esophagus, anteriorly towards the trachea. Treatment of these pathologies must be early and a late diagnosis can put patients\' lives at risk.
摘要：
分支原瘘管是影响宫颈隔室的先天性改变。第四个分支裂口的裂口是最罕见的，可能会出现非常严重的并发症。化脓性甲状腺炎可能是这些改变的并发症。我们描述了一个3岁女孩发高烧的案例，左宫颈肿胀和炎症指数增加。颈部超声检查显示左甲状腺叶脓肿，宫颈后区域有空气含量的液体团。核磁共振成像,液体从左梨状窦延伸至纵隔。荧光镜检查还强调了从食道左侧壁延伸的瘘管特征，向前朝向气管。这些疾病的治疗必须早期，晚期诊断可能会使患者的生命处于危险之中。
