Endoscopic fibrin sealing of congenital pyriform sinus fistula

被引：44

作者：

Cigliano, B

Cipolletta, L

Baltogiannis, N

Esposito, C

Settimi, A

机构：

[1] Federico II Childrens Univ Hosp, Dept Pediat Surg, I-80131 Naples, Italy

[2] Hosp A Maresca, Dept Gastroenterol & Digest Endoscopy, I-80069 Torre Del Greco, Italy

[3] AS Onassis Publ Benefit Fdn, Greek Sect Scholarship & Res, Athens, Greece

[4] Magna Graecia Univ, Dept Expt & Clin Med, Chair Pediat Surg, I-88100 Catanzaro, Italy

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2004年 / 18卷 / 03期

关键词：

pyriform sinus fistula; acute suppurative thyroiditis; endoscopy; fibrin glue;

D O I：

10.1007/s00464-003-4253-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Pyriform sinus fistula is a very rare branchial apparatus malformation, often appearing in the form of a cervical inflammatory process (abscess or suppurative thyroiditis), especially in infants. Failure to diagnose this lesion may result in unexpected recurrence. A case of recurrent suppurative thyroiditis caused by pyriform sinus fistula in a 9-year-old girl is reported. In the latency period of infection, the fistula tract was identified by a barium meal contrast study. Direct endoscopy showed the fistula internal orifice at the apex of the left pyriform fossa. The fistula was completely obliterated by injection of fibrin glue. Suppurative thyroiditis is reported mainly in the pediatric literature, and the reported case is the first to be managed endoscopically by injection of fibrin adhesive.

引用

页码：554 / 556

页数：4

共 8 条

[1] Branchial pouch sinus tract from the piriform fossa causing acute suppurative thyroiditis, neck abscess, or both: CT appearance and the use of air as a contrast agent [J].