Minimally invasive drainage of a giant retropharyngeal abscess

Lateral neck X-ray revealed a massive prevertebral swelling which caused cervical spine kyphosis.

Axial CECT sections displaying the RPA originating from a right node of Rouvier (a) crossing the midline at the level of the oropharynx (b) and extending to the level of the aortic arch (c–g). These sections also show anterior displacement of the trachea and esophagus and lateral displacement of the great vessels.

(a and b) Coronal CECT sections show lateral displacement of the great vessels. The inferior septation that was found in the OR can be appreciated (b).