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Retropharyngeal calcific tendinitis. | LitMetric

Retropharyngeal calcific tendinitis.

Isr Med Assoc J

Department of Otolaryngology, Meir Medical Center, Kfar Saba, Israel.

Published: November 2009

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Acute calcific tendinitis of the longus colli (ACTLC) is a rare, self-resolving condition caused by calcium hydroxyapatite crystal deposition in the longus colli muscle tendons. We present a case of a 46-year-old female with a history of hypertension who presented with right-sided neck pain, worsening abdominal pain, nausea, bloody emesis, and generalized body aches in the context of recent alcohol use. Physical examination revealed neck pain with limited range of motion, induration, and tenderness in the right and posterior neck areas.

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Background: Retropharyngeal calcific tendinitis (RCT) is a relatively benign condition of calcination of the longus colli muscle tendon of unknown origin, which causes severe acute neck pain. However, it is often not recognised, which leads to delayed diagnosis and unnecessary treatment.

Patients And Methods: We have searched PubMed and Google Scholar for publications which reported at least one patient with RCT and were published in the last 20 years.

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Odynophagia refers to painful swallowing caused by various underlying factors that must be excluded to determine the best treatment approach. Neck pain is a debilitating condition requiring treatment in rehabilitative settings. There are several circumstances in which odynophagia and neck pain coexist, such as tendinitis of the longus colli muscle and paravertebral calcification, prevertebral and retropharyngeal abscess, esophageal perforation, aortic dissection, thyroid cartilage fracture, thyrohyoid ligament syndrome, pneumomediastinum and subcutaneous emphysema, and after physical exercise.

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Article Synopsis
  • - A young female patient reported acute neck pain, difficulty swallowing (odynophagia), and fever, raising concerns for conditions like meningitis or retropharyngeal abscess.
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