Fistula of Piriform Recesus andAbscess of Thyroid Gland –Diagnosis and Therapy (Review of Literature and Analysis of Two Cases)

Overview

Abscess of thyroid gland is a rare disease. The origin of the thyroid gland abscess isconnected witha preceding inflammatory disease localized especially in upper respiratory pathways,swallowing passages, fistulas of recesus piriformis and developmental defects of the third orforthgill plica, exceptionally with persisting ductus thyreoglossus. The reports published so farsummarize data on the incidence, etiology, symptoms, complications, diagnosis and management ofabscesses of thyroid gland.The paper presents two cases of patients with abscess of thyroid gland, a 36-year man and a 24-yearwoman. Symptoms, diagnostic procedure and therapy are described.The abscess of thyroid gland develops rarely. In the case of relapsing abscesses it is necessary tolook for a fistula of the piriform recesus. Surgery is the therapy of choice for abscesses of thyroidgland - incision (or hemithyreoidectomy) is accompanied by a perfect drainage. The surgery isaccompanied by the administration of antibiotics according to sensitivity determined by bacteriologicalexamination. After the abscess is healed up, the presence of fistula of the piriform recesusshould be excluded in all patients.

Key words:
abscess of thyroid gland, fistula or recesus piriformis, complications, diagnosis.