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Atypical 2nd branchial cleft cyst (type IV) - infected

Case contributed by Dr Mohammad Taghi Niknejad

Presentation:

Pain and swelling of the neck

Patient Data:

Age: 24
Gender: Male
Race: Middle eastern

Well-defined cystic mass with thick , smooth and enhanced wall is seen at parapharyngeal-prevertebral spaces . Cervical lymphadenopathies also are noted .

Case Discussion:

The findings compatible with 2nd branchial cleft cyst ( atypical - type IV ) which seems to be infected. Although the  most common location for  a 2nd branchial cleft cyst is the submandibular  space, the cyst can atypically present in  the parapharyngeal space.

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