J Korean Surg Soc.  2006 Jun;70(6):470-474.

Recurrent Acute Suppurative Thyroiditis due to Piriform Sinus Fistula

• Yang KH
• Kim HJ

Abstract

Acute suppurative thyroiditis is an uncommon condition because the thyroid gland is remarkably resistant to infections. In children, anatomic defects, such as a left piriform sinus fistula, predispose subjects to this infection. The number of reports on acute suppurative thyroiditis and an anterior neck abscess due to piriform sinus fistula have recently increased. The sinus may be overlooked for years, with the patient receiving multiple procedures before a proper diagnosis is made and the condition correctly treated. Herein, we report our experience of a case of recurrent suppurative thyroiditis associated with piriform sinus fistula, and reviews the embryological development of the sinus, as well as clinical symptoms and treatment of acute suppurative thyroiditis.

Keyword

Piriform sinus fistula; Acute suppurative thyroiditis; Recurrent

MeSH Terms

Abscess
Child
Diagnosis
Fistula*
Humans
Neck
Pyriform Sinus*
Thyroid Gland
Thyroiditis, Suppurative*