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Answer to Case of the Week: Sep 11-Sep 18, 2008
Neck swelling and fever

 


Two different patients with same diagnosis? What is the pathophysiology and treatment?
Abscess in the region of the left lobe of thyroid. Sinus tract extending from the pyriform sinus
Diagnosis: THYROID ABSCESS-FOURTH BRANCHIAL APPARATUS ANOMALY

In any child with phlegmon or abscess in or anterior to the left lobe or recurrent suppurative thyroiditis, fourth branchial apparatus anomaly should be considered.  

Thyroid lobectomy is required for lesions in thyroid lobe to prevent recurrence.

Pyriform sinus opening must be obliterated.

Residents Submitting Correct Diagnosis - Case of the Week
Radiology
Pediatrics
VCU Resident
  		• Arash Chehrazi
  		• William Fox
  		• Aaron Nordgren
    Others
  		• Joshua BallUnited States of America
    Disclaimer: This information is intended solely for resident review of presented cases which may or may not be pathologically proven. Information is derived from a number of published sources of varying reliability and does not represent original research from the institution. It is not intended to be comprehensive and should therefore not substitute for careful review of the literature.