10 years old boy came with:
1. Pain while swallowing - 5 days
Pain was getting progressively more. He was not even able to swallow his saliva.
2. Fever - 3 days
Reddish swelling seen in the posterior pharyngeal wall.
X-ray soft tissue neck lateral view: showed
1. Prevertebral shadow with gas bubbles seen
2. Straightening of spine (Ram rod spine) due to muscular spasm
Discussion: The commonest cause of retropharyngeal abscess in children is suppuration of retropharyngeal lymph node (Henle's node).
The abscess was drained under local anesthesia with head positioned at a lower level to prevent aspiration.