case_images: PMC11233903_01
case_images: Shows drowsy child with severe intercostal and subcostal retraction.
case_images: gr1.jpg
case_images: PMC11233903_01_gr1.jpg
case_images: fig0005
case_images: There was tachycardia and tachypnea with severe subcostal and intercostal retraction (Fig. 1).
case_images: Oropharyngeal examination showing a bulge in the posterior pharyngeal wall predominantly to the left with salivary pooling.
case_images: gr2.jpg
case_images: PMC11233903_01_gr2.jpg
case_images: fig0010
case_images: Oropharyngeal examination showed a bulge in the left side of the posterior pharyngeal wall with congestion including the soft palate, uvula, and bilateral tonsillar region (Fig. 2).
case_images: Plain lateral neck x-ray-reveals widening of soft tissue with anterior airway displacement. At the level of C2- 40 mm and at C6- 35 mm soft tissue widening is noted with extension of soft tissue shadow to the mid thoracic level.
case_images: gr3.jpg
case_images: PMC11233903_01_gr3.jpg
case_images: fig0015
case_images: X-ray soft tissue neck-lateral view and chest x-ray is taken bedside, which showed a large RPA (Fig. 3).
case_images: Boyle Davis mouth gag with tongue blade inserted. Bulge is noted in the posterior pharyngeal wall with maximum propensity to left. Uvula pushed anteriorly.
case_images: gr4.jpg
case_images: PMC11233903_01_gr4.jpg
case_images: fig0020
case_images: Epiglottis and vallecula could not be appreciated well, because of the pressure effect (Fig. 4).
case_images: Intra-oral aspiration of purulent pus from the point of maximum bulge in posterior pharyngeal wall.
case_images: gr5.jpg
case_images: PMC11233903_01_gr5.jpg
case_images: fig0025
case_images: Intra-oral aspiration was done using a 50 ml syringe- around 20 ml of pus aspirated (Fig. 5).
case_images: Oropharynx after intra-oral abscess drainage- significant reduction in posterior pharyngeal bulge noted in comparison to figure-4 with increased room in oropharynx and visualization of epiglottis.
case_images: gr6.jpg
case_images: PMC11233903_01_gr6.jpg
case_images: fig0030
case_images: Bulge was reduced significantly; epiglottis could be visualized (Fig. 6).
case_images: Post-operative lateral neck x-ray - remarkable reduction of soft tissue widening noted in comparison to pre-operative x-ray (Fig. 3), with Tracheostomy tube in position.
case_images: gr7.jpg
case_images: PMC11233903_01_gr7.jpg
case_images: fig0035
case_images: Postoperatively, a lateral neck x-ray was taken - a significant reduction in bulge was noted and the tracheostomy tube position was confirmed (Fig. 7).