Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-28T06:50:23.971Z Has data issue: false hasContentIssue false
  • English
  • Français

Pyopneumothorax—a rare sequelae of retropharyngeal abscess

Published online by Cambridge University Press:  29 June 2007

S. Lokman ,
A. Sani  and
D. S. Sidek
S. Lokman*
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Universiti Kebangsaan Malaysia, Kuala Lumpur.
A. Sani
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Universiti Kebangsaan Malaysia, Kuala Lumpur.
D. S. Sidek
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Universiti Kebangsaan Malaysia, Kuala Lumpur.
*
Dr Lokman Saim, Department of Otorhinolaryngology, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abd. Aziz, Kuala Lumpur 50300 Malaysia.
Get access Rights & Permissions [Opens in a new window]

Abstract

A case of massive pyopneumothorax as a rare sequelae of retropharyngeal abscess following fish bone ingestion is reported. An initial attempt at removal of the fish bone in the oesophagus using the fibroptic oesophagoscope was unsuccessful, causing failure of its removal and the development of this rare and potentially fatal complication. The intercommunication of the retropharyngeal space with other spaces of the neck and thorax that allow this and most other complications to occur is described. Rigid endoscopes are the instrument of choice in retrieving sharp foreign bodies in the oesophagus.

Keywords

Retropharyngeal abscessPyopneumothoraxForeign body
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 5 , May 1993 , pp. 460 - 462
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barber, G. B., Peppercorn, M. A., Ehrlich, C., Thurer, R. (1984) Esophageal foreign body perforation: report of an unusual case and review of literature. The American Journal of Gastroenterology 79(7): 509–511.Google Scholar
Bozer, A. Y., Saylam, A., Ersoy, U. (1974) Purulent pericarditis due to perforation of oesophagus with foreign body. Journal of Thoracic and Cardiovascular Surgery 67: 590–592CrossRefGoogle ScholarPubMed
Holinger, L. D. (1990) Management of sharp and penetrating foreign bodies of the upper aerodigestive tract. Annals of Otology, Rhinology and Laryngology 99: 684–688.CrossRefGoogle ScholarPubMed
Johnson, A. P., Gray, R. R, Smelt, G. J. C. (1988) Life-threatening peripharyngeal suppuration. Journal of Laryngology and Otology 102: 235–241Google Scholar
Nandi, P., Ong, G. B. (1978) Foreign body in the oesophagus; review of 2,394 cases. British Journal of Surgery 65: 5–9CrossRefGoogle Scholar
Ngan, J. H. K., Fox, P. J., Lai, E. C. S., Branicki, F. J., Wong, J. A. (1990) A prospective study on fish bone ingestion—experience of 358 patients. Annals of Surgery 211(4): 459–462.CrossRefGoogle Scholar
Phillipps, J. J., Patel, P. (1988) Swallowed foreign bodies. Journal of Laryngology and Otology 102(3): 235–241.CrossRefGoogle ScholarPubMed
Sethi, D. S., Chew, C. T. (1991) Retropharyngeal abscess—the foreign body connection. Annals of the Academy of Medicine of Singapore 20(5): 581–588.Google ScholarPubMed