PMC7306536_01
Neck CT; Axial (A,B) and Coronal (C) revealed air retropharyngeal and left parapharyngeal.
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Neck lateral radiograph and Computer tomography of the neck and chest with contrast were done showing retropharyngeal emphysema with no evidence for tear Fig. 1.
Endoscopic view of the hypopharynx; (A) showing perforation site at left pyriform (black Arrow head); (B) healing of left pyriform perforation. Red star showing the upper esophageal opening.
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Fig. 2. Follow up neck lateral radiograph showed no improvement of retropharyngeal collection, so the child underwent external drainage with a drain insertion.