Bezold's Abscess and Internal Jugular Vein Thrombosis Extending to the Sigmoid Sinus: Unusual Complications of Cholesteatoma
Year: 2025
Type: article
Study design: Case Report
Abstract: Bezold's abscess is a rare suppurative complication of mastoiditis arising from chronic otitis media. It is a cervical abscess that spreads from the mastoid insertions of the sternocleidomastoid and digastric muscles due to erosion of the bony cortex at the mastoid tip. Management is both medical and surgical. Since the introduction of antibiotics, the number of reported cases of Bezold's abscess has significantly decreased. We report the case of a 29-year-old patient followed for chronic cholesteatomatous otitis media who presented with an inflammatory right lateral cervical mass. Cervical CT revealed a deep cervical abscess associated with right-sided internal jugular vein and sigmoid sinus thrombosis. We describe the clinical features, diagnostic work-up, and therapeutic management of this rare case.
Source: SAS Journal of Surgery
Authors: EL YOUBI Hajar, EL ALAOUI EL RHOUL Salma, Ridal Mohamed, BENMANSOUR Najib, OUTTASSI Naouar, AFELLAH Mohamed, OUDIDI Abdelatif
Institution: Centre Hospitalier Universitaire Hassan II
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410310855