Infected second branchial cleft cyst

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Painful swelling at the left mandibular angle

Patient Data

Age: 25 years
Gender: Female

A well-defined left upper cervical ovoid cystic mass at the mandibular angle between the SCM muscle laterally and carotid vessels and internal jugular vein medially. It shows a thick enhanced wall with a homogeneous fluid content. No significant cervical lymphadenopathy.

Case Discussion

The CT features are highly suggestive of infected second branchial cleft cyst type II according to Bailey classification of second branchial cleft cysts and considered the most common and corresponds to the classic description of these lesions in the submandibular space.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.