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    Go to the top of the page   ID: 20020319155209 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Parapharyngeal Abscess after Staking Injury
    W Weiwad. Parapharyngeal Abscess after Staking Injury. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020319155209


     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    W. Weiwad (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    6 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Neck-Muscular system / Connective tissue / Skin  

     
     Pediatric Radiology CasesMost likely etiology:

    inflammatory or infectious  

     
     Pediatric Radiology CasesHistory:

    6 year old boy sledded into a thorn bush on 23.12.01 with an open mouth. In the course of an out-patient ENT-consultation, a wood splinter was removed from the right tonsil. On the 28th of December, the boy presented painful torticollis and fever which gave rise to the question of a neck abscess.

    After completing the MRI (Image 1 & 2), an abscess tonsillectomy with drainage of large amounts of pus from the parapharyngeal space was performed. During the surgical inspection, the foreign object that was suspected in the radiological findings was not seen.

    In the postoperative CT (29th December), the MRI findings of a foreign object with surrounding abscess was supported. In the following operation, the foreign object was confirmed.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    MRI 1 und

    MRI 2 <- view MRI 2

    MRI 2: MRI dated from December 28: Taking the age of our patient in consideration, a diagnostic MRI without sedation was performed. Some movement artefacts were taken into account. Head-positioning was done diagonally due to painful movement of the head.
    The MRI shows an almost 3 cm foreign body, which is low in signals. This reaches from the dorsal part of the right tonsil through the parapharyngeal space along the large neck vessels almost up to the hind edge of the sternocleidomastoid muscle. Surrounding this finding is an obvious inflammatory response with inclusion of the soft palate, pharyngeal wall, parapharyngeal space and dorsal neck triangle. Caudally, this reaches to about the level of the glottis. After contrast application, an area of demarcation around the foreign body is seen, with limited enhancement of the edges. Furthermore, ipsilateral swelling of the lymph nodes can be seen.








    CT 1 <- view CT 1

    CT 1: CT dated January 29, 2001 (Image 3): After tonsillectomy, the findings of the right parapharyngeal space is basically unchanged. However, the suspicion of foreign body is now stronger.





     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    N/A  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Parapharyngeal, Abscess, Staking, Injury, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    W Weiwad. Parapharyngeal Abscess after Staking Injury. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020319155209  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Neck-Muscular system / Connective tissue / Skin
    or in the region: Neck
    or in the tissue/organ: Muscular system / Connective tissue / Skin
    or with the etiology: inflammatory or infectious
     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Parapharyngeal Abscess after Staking Injury
    W Weiwad. Parapharyngeal Abscess after Staking Injury. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020319155209


     

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    Parapharyngeal Abscess after Staking Injury
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    Search W. Weiwad in Medline W. Weiwad (5)   

    Parapharyngeal Abscess after Staking Injury  
     
    Parapharyngeal Abscess after Staking Injury
    W Weiwad. Parapharyngeal Abscess after Staking Injury. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020319155209


     
     
    Parapharyngeal Abscess after Staking Injury
    W Weiwad. Parapharyngeal Abscess after Staking Injury. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020319155209


     

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    Parapharyngeal Abscess after Staking Injury
    W Weiwad. Parapharyngeal Abscess after Staking Injury. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020319155209


     




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