Abstract:
INTRODUCTION:Acute suppurative thyroiditis and recurrent abscess formation due to third and fourth branchial anomalies typically present in children. However, thyroid abscesses in branchial anomalies may occur in adulthood as well. Failure to recognize and delayed drainage of a neck abscess may lead to a fulminant life-threatening outcome. METHODS:This is a retrospective case series. The study group comprised all patients presenting over a 12-month period from January to December 2012 with thyroid abscesses and a branchial cleft anomaly in two centres, one adult and the other paediatric. Patient demographics, clinical presentation, imaging, surgical management, definitive histology and outcomes were documented. RESULTS:Five patients were identified with a history of thyroid abscesses. Only one was a child (aged 9 years) with the other four being adults (aged 20, 34, 37 and 41 years). All patients had third or fourth left branchial cleft anomalies, presenting as suppurative thyroiditis with a left-sided thyroid abscess. Management options ranged from abscess drainage on initial presentation, primary thyroid lobectomy or delayed thyroid lobectomy following abscess drainage. CONCLUSION:Acute suppurative thyroidits and thyroid abscesses is not just a paediatric diagnosis but may present at any age. In both children and adults, a thyroid abscess almost always arises from branchial cleft anomalies.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Kruijff S,Sywak MS,Sidhu SB,Shun A,Novakovic D,Lee JC,Delbridge LWdoi
10.1111/ans.12576subject
Has Abstractpub_date
2015-07-01 00:00:00pages
578-81issue
7-8eissn
1445-1433issn
1445-2197journal_volume
85pub_type
杂志文章abstract::The Royal Colleges of Surgeons and Surgical Specialty Associations in the UK have introduced competence-based syllabi and curricula for surgical training. The syllabi of the Intercollegiate Surgical Curriculum Programme (ISCP) and Orthopaedic Curriculum and Assessment Programme (OCAP) define the core competencies, tha...
journal_title:ANZ journal of surgery
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journal_title:ANZ journal of surgery
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2009-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-04-01 00:00:00
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更新日期:2011-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-06-01 00:00:00
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pub_type: 传,历史文章,杂志文章
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更新日期:2020-03-01 00:00:00
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更新日期:2006-07-01 00:00:00
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更新日期:2001-09-01 00:00:00
abstract::A posterior vaginal wall prolapse, also known as a rectocele, is a common condition and is an outpouching of the posterior vaginal wall and anterior rectal wall into the lumen of the vagina.1-5 Although more common in parous women, rectoceles of over 1 cm in size have been demonstrated in over 40% of nulliparous women...
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pub_type: 杂志文章,评审
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
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更新日期:2005-04-01 00:00:00