Spontaneous retropharyngeal and mediastinal thoracic duct cyst in an infant with respiratory distress

Bhalla, Vidur; Schrepfer, Thomas; McCann, Adam; Nicklaus, Pamela J.; Reading, B.

doi:10.1016/j.ijporl.2017.11.021

Cited by 1 publication

(2 citation statements)

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“…16 A rare case of thoracic duct cysts within the retropharynx and mediastinum in an infant is also reported. 17 Radiological investigations utilized in children with retropharyngeal swellings include plain cervical radiographs, 3,8 CT scans 3,6,8 and MRIs. 3 These are beneficial in diagnosis and monitoring of disease progress.…”

Section: Discussionmentioning

confidence: 99%

“…In children, there are several potential diagnoses of retropharyngeal swellings. These include retropharyngeal cellulitis and abscesses, 13,14 retropharyngeal oedema seen in multisystem inflammatory syndrome in children (MIS-C) 15 and Kawasaki disease, 16 thoracic duct cysts 17 or retropharyngeal haematomas. 6,8 The cases of retropharyngeal haematomas are often associated with foreign body ingestion or anticoagulation but spontaneous retropharyngeal haematomas are relatively rare.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Retropharyngeal Haematoma Causing Upper Airway Obstruction in a Child: Case Report

Kabagenyi¹,

Hidour²

2022

IMCRJ

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Bleeding into the retropharyngeal region in children is an unusual cause of acute upper airway obstruction. Even in the absence of known risk factors or aetiology, this rare entity should be considered as one of the differential diagnoses of retropharyngeal swellings in children. Prompt surgical intervention is required whenever rapid progression to airway obstruction is observed. In this case report, we present an 18-month-old girl previously managed as upper respiratory tract infection, who presented with progressive dysphagia, drooling and eventually airway obstruction with stridor and respiratory distress. Conservative prolonged airway protection by intubation or tracheostomy was averted by an emergency incision and drainage of the haematoma. There was complete resolution by the second week and no recurrence reported at follow-up 18 months later.

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