梨狀竇甲腺間瘻管所引起之再發性化膿性甲腺炎：一病例報告

Recurrent Suppurative Thyroiditis Due to Pyriform Sinus-Thyroid Fistula: Report of a Case

劉復國(Fu-Kuo Liu) ； 邊子揚(Tzyy-Yang Bian) ； 徐冬民(Dong-Min Shyu) ； 黃健行(Jen-Sin Hwang) ； 林聖旦(San-Dan Lin) ； 鄭志承(Chee-Chang Jeng) ； 劉忠武(Chung-Wu Liu)

《Acta Paediatrica Sinica》 29卷6期 (1988/12) Pp. 422-426

摘要

本文報告一位八歲男童，因甲狀腺反覆化膿，經一系列檢查，配合食道鋇劑攝影，證實具有左側梨狀竇甲狀腺瘻管。施以瘻管切除術治療，於術後再做食道鋇劑攝影，判定完全治療。因本例是國內首次報導孩童再發性化膿性甲狀腺炎治療病患，爰提出診斷治療與這踪經過，就教於醫界先進。

並列摘要

Recurrent suppurative thyroiditis (RST) is a rare disorder; less than twenty cases could be traced in English literatures. Takai stressed the importance of searching for congenital fistula between the pharynx and thyroid gland in patients with RST,. Prospective recurrent suppurative thyroiditis patients must receive barium esophagogram examination six to eight weeks after inflammation subsided to diagnose and manage this disease. Once the congenital fistula is found, fistulectomy is the choice of treatment for permanent cure of RST.A case of an eight-year-old boy is reported with three recurrent episodes of left thyroid abscess formation. One month after the thyroid abscess was incised and drained, a left pyriform sinus thyroid fistula was found by barium esophagogram. After the infection subsided, a fistulectomy was performed and complete resection of the fistula was proved by barium esophagogram. This is the first report of a child's case of RST with successful treatment in Taiwan, R.O.C. It is cited to remind clinicians of this possible condition and its management.

並列關鍵字

recurrent suppurative thyroiditis(RST) ； pyriform sinus fistula ； barium esophagogram ； fistulectomy