Spontaneous cervical XXXX with near-complete @entity1224 .

@entity1 @entity548 @entity281 @entity1410 @entity1576 @entity1224 @entity3243 @entity130
BACKGROUND: Retropharyngeal @entity1410 is a rare entity which may progress rapidly to @entity1224 . Previously documented causes have included coagulopathic states, @entity130 , @entity281 , @entity3243 , and foreign-object ingestion. Four cases of spontaneous @entity1410 without any known predisposing risk factors have been previously reported. Two of these cases had fatal outcomes. METHODS: A case report is presented and the literature reviewed. RESULTS: Spontaneous cervical @entity1410 with parapharyngeal and retropharyngeal involvement which caused near-complete @entity1576 occurred in an otherwise healthy young @entity1 following straining. Initial management involved fiberoptic nasotracheal intubation. Subsequent right neck exploration revealed @entity548 from a branch of the external carotid artery, which was ligated. An arteriogram revealed minimal flow through the right external carotid artery and its branches. The @entity1 was extubated and discharged uneventfully on the fourth postoperative day. CONCLUSION: The possible etiology for this case is discussed, and a review of the literature and the role of surgery in the management of this entity is outlined.
