title: Acute prevertebral abscess secondary to infected pancreatic pseudocyst.
abstract: We report a case of a middle aged, man with diabetes who presented with dysphagia and odynophagia. On evaluation, he was diagnosed to have an acute prevertebral abscess with an unusual aetiology, an infected pseudocyst of pancreas. Contrast-enhanced CT revealed an enhancing collection in the prevertebral space extending to the retrogastric space and communicating with the body of the pancreas via the oesophageal hiatus. Transoral incision and drainage of the prevertebral abscess were performed. Nasogastric tube was placed in the prevertebral space for continuous drainage and daily irrigation. Supportive intravenous broad spectrum antibiotic therapy along with the surgical intervention led to the resolution of the prevertebral abscess and the infected pancreatic pseudocyst.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kasturba Medical College, Manipal, Karnataka, India.
authors.forename: Ajay M
authors.initials: AM
authors.lastname: Bhandarkar
authors.forename: Suresh
authors.initials: S
authors.lastname: Pillai
authors.forename: Shruti
authors.initials: S
authors.lastname: Venkitachalam
authors.forename: Aishwarya
authors.initials: A
authors.lastname: Anand
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002574:Cervical Vertebrae / Q000473:pathology; D003131:Combined Modality Therapy; D003680:Deglutition Disorders / Q000209:etiology; D004322:Drainage; D006801:Humans; D007262:Infusions, Intravenous; D007710:Klebsiella Infections / Q000175:diagnosis* / Q000601:surgery; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000150:complications / Q000175:diagnosis; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000175:diagnosis*; D019512:Pancreatitis, Alcoholic / Q000150:complications; D017703:Retropharyngeal Abscess / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents