PMC3485759_01
Photograph of the patient showing upper neck swelling.
CRIM.OTOLARYNGOLOGY2012-165987.001.jpg
PMC3485759_01_CRIM.OTOLARYNGOLOGY2012-165987.001.jpg
fig1
The chief complaints of the patient were ear discharge (off and on) and hearing loss in left ear since childhood and a swelling in left upper part of neck since 5 days (Figure 1).
CT scan showing lateral sinus thrombosis.
CRIM.OTOLARYNGOLOGY2012-165987.002.jpg
PMC3485759_01_CRIM.OTOLARYNGOLOGY2012-165987.002.jpg
fig2
Subsequently CT scan of the patient revealed LST extending into the left jugular vein (Figure 2).
CT scan showing IJV thrombosis with carotid abscess.
CRIM.OTOLARYNGOLOGY2012-165987.003.jpg
PMC3485759_01_CRIM.OTOLARYNGOLOGY2012-165987.003.jpg
fig3
However, CT scan neck delineated an abscess along left IJV, extending in left carotid space displacing the great vessels (Figure 3).
Photograph of the patient at discharge with no neck swellin.
CRIM.OTOLARYNGOLOGY2012-165987.004.jpg
PMC3485759_01_CRIM.OTOLARYNGOLOGY2012-165987.004.jpg
fig4
Intravenous antibiotics were continued after surgery till discharge on the 10th postoperative day (Figure 4).