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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
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Tonsillitis II: Management01:26

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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Updated: Jan 18, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
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[Analysis of recurrent cervical abscess: a case report].

Junxin Wang1, Hui Wang1, Maogang Sun1

  • 1Department of Otolaryngology，the Affiliated Weihai Second Municipal Hospital of Qingdao University，Weihai，264200，China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|May 30, 2025
PubMed
Summary

Recurrent cervical abscesses were the first sign of a large esophageal fistula. Treatment involved removing internal fixation, wound care, and observation, leading to spontaneous fistula healing and no abscess recurrence.

Keywords:
anterior cervical surgerycervical abscessesophageal fistulathyroid radiofrequency ablation

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Area of Science:

  • Otolaryngology
  • Gastroenterology
  • Trauma Surgery

Background:

  • A patient presented with recurrent cervical abscesses following anterior cervical fixation and thyroid radiofrequency ablation.
  • These abscesses persisted for eight months, indicating a complex underlying issue.

Purpose of the Study:

  • To report a unique case of esophageal fistula presenting initially as recurrent cervical abscesses.
  • To describe the diagnostic findings and successful conservative management of this rare condition.

Main Methods:

  • Diagnostic fiberoptic laryngoscopy with biopsy channel insufflation to identify the esophageal fistula.
  • Surgical removal of anterior cervical internal fixation.
  • Conservative wound care and serial endoscopic monitoring.

Main Results:

  • A large esophageal fistula at the esophageal inlet was diagnosed.
  • Following internal fixation removal and wound care, the esophageal fistula healed spontaneously.
  • No recurrence of cervical abscesses was noted during a one-year follow-up.

Conclusions:

  • Esophageal fistula can manifest initially as recurrent cervical abscesses, especially after cervical trauma and surgery.
  • Conservative management, including removal of foreign material and wound care, can lead to spontaneous healing of esophageal fistulas.
  • This case highlights the importance of considering esophageal injury in patients with unexplained cervical abscesses.