PMC4259132_01
Axial view CT-scan.
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fig1
A cervical CT-scan showed a multilobulated liquid formation in the left lateral cervical region, measuring 29 x 15 x 55 mm, in contact with the left thyroid lobule, as well as the presence of a fistula tract between the thyroid lobule and the pyriform sinus on the left side (Figures 1 and 2).
Coronal view CT-scan.
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fig2
A cervical CT-scan showed a multilobulated liquid formation in the left lateral cervical region, measuring 29 x 15 x 55 mm, in contact with the left thyroid lobule, as well as the presence of a fistula tract between the thyroid lobule and the pyriform sinus on the left side (Figures 1 and 2).
Preoperative view.
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fig3
T1 MRI coronal view after injection.
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fig4
An MRI was done 3 months after the surgery and showed a diffuse inflammation in the left cervical region without abscess formation and a fistula tract at the level of the hypopharynx on the left side (Figure 4).
Axial CT-scan.
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fig5
A cervical CT-scan showed an abscess with a fistula on the left side of the neck (Figure 5).
Left piriform sinus.
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fig6
An endoscopic cauterization of the fistula in the left piriform sinus was done (Figures 6 and 7).
Cauterization of the orifice.
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fig7
An endoscopic cauterization of the fistula in the left piriform sinus was done (Figures 6 and 7).
Intraoperative view.
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fig8
A left-side cervicotomy was performed with a complete excision of the fistula tract, left thyroid lobule, and all the inflammatory tissues with multiples lymph nodes (Figure 8: fistula's tracts between the left thyroid nodule and the pharynx).