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

Case contributed by: Dr MT Niknejad

Presentation:

Pain and swelling of the neck

Patient Data:

Age: 24
Gender: Male
Race: Middle eastern
From the case: Atypical 2nd branchial cleft cyst (type IV) - infected
Modality: CT

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Axial view

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.

Related articles

References:

  1. Harnsberger HR, Mancuso AA, Muraki AS et-al. Branchial cleft anomalies and their mimics: computed tomographic evaluation. Radiology. 1984;152 (3): 739-48. Radiology (abstract) - Pubmed citation
  2. Koeller KK, Alamo L, Adair CF et-al. Congenital cystic masses of the neck: radiologic-pathologic correlation. Radiographics. 19 (1): 121-46. Radiographics (full text) - Pubmed citation

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