Infected 2nd branchial cleft cyst

Case contributed by Dr Amr Farouk

Presentation

60 years old male presents with painful right neck lump

Patient Data

Age: 60 years
Gender: Male
Modality: CT

There is a well-defined cystic lesion in the right side of the neck anterior to the right sternomastoid muscle indenting the inferior border of the parotid gland, compressing and stretching the internal jugular vein on its medial and anterior borders. It also results in anterior displacement of the right sub-mandibular gland.This lesion has a relatively thick enhancing wall and measures about 4 cm in its maximum diameter with no signs of invasion into surrounding structures. Enlarged right thyroid lobe also noted. 

Case Discussion

Right sided cystic neck lesion related to the sternomastoid muscle represents a 2nd branchial cleft cyst.

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Case Information

rID: 38564
Case created: 25th Jul 2015
Last edited: 19th Dec 2016
System: Head & Neck
Inclusion in quiz mode: Included

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