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Identification of a branchial cleft anomaly via handheld point-of-care ultrasound
AIM OF THE STUDY: Branchial anomalies result from incomplete obliteration of the branchial arch structures during embryogenesis. Second branchial arch anomalies are commonly found on the lower third of the neck, with an opening at the anterior border of the sternocleidomastoid muscle, and may drain...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medical Communications Sp. z o.o.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009347/ https://www.ncbi.nlm.nih.gov/pubmed/35449698 http://dx.doi.org/10.15557/JoU.2022.0012 |
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author | Brad Hall, A. Hasara, Shannon Coker, Phillip |
author_facet | Brad Hall, A. Hasara, Shannon Coker, Phillip |
author_sort | Brad Hall, A. |
collection | PubMed |
description | AIM OF THE STUDY: Branchial anomalies result from incomplete obliteration of the branchial arch structures during embryogenesis. Second branchial arch anomalies are commonly found on the lower third of the neck, with an opening at the anterior border of the sternocleidomastoid muscle, and may drain secretions or purulent material. This case demonstrates the use of handheld point-of-care ultrasound to aid in the diagnosis of a branchial anomaly. CASE DESCRIPTION: The patient presented with a “hole” in the neck with intermittent drainage from the site. A 2 mm defect in the skin was noted anterior to the sternocleidomastoid muscle. A handheld ultrasound system was used to identify a well-defined, hypoechoic, cyst-like structure. Given the history, physical findings, and point-of-care ultrasound imaging, the diagnosis of a second branchial cleft sinus was made. CONCLUSIONS: The use of point-of-care ultrasound and knowledge of the sonographic characteristics of these lesions can assist the physician in the diagnosis of branchial arch anomalies. |
format | Online Article Text |
id | pubmed-9009347 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Medical Communications Sp. z o.o. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90093472022-04-20 Identification of a branchial cleft anomaly via handheld point-of-care ultrasound Brad Hall, A. Hasara, Shannon Coker, Phillip J Ultrason Case Report AIM OF THE STUDY: Branchial anomalies result from incomplete obliteration of the branchial arch structures during embryogenesis. Second branchial arch anomalies are commonly found on the lower third of the neck, with an opening at the anterior border of the sternocleidomastoid muscle, and may drain secretions or purulent material. This case demonstrates the use of handheld point-of-care ultrasound to aid in the diagnosis of a branchial anomaly. CASE DESCRIPTION: The patient presented with a “hole” in the neck with intermittent drainage from the site. A 2 mm defect in the skin was noted anterior to the sternocleidomastoid muscle. A handheld ultrasound system was used to identify a well-defined, hypoechoic, cyst-like structure. Given the history, physical findings, and point-of-care ultrasound imaging, the diagnosis of a second branchial cleft sinus was made. CONCLUSIONS: The use of point-of-care ultrasound and knowledge of the sonographic characteristics of these lesions can assist the physician in the diagnosis of branchial arch anomalies. Medical Communications Sp. z o.o. 2022-02-08 /pmc/articles/PMC9009347/ /pubmed/35449698 http://dx.doi.org/10.15557/JoU.2022.0012 Text en 2022 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (CC BY-NC-ND). Reproduction is permitted for personal, educational, non-commercial use, provided that the original article is in whole, unmodified, and properly cited. |
spellingShingle | Case Report Brad Hall, A. Hasara, Shannon Coker, Phillip Identification of a branchial cleft anomaly via handheld point-of-care ultrasound |
title | Identification of a branchial cleft anomaly via handheld point-of-care ultrasound |
title_full | Identification of a branchial cleft anomaly via handheld point-of-care ultrasound |
title_fullStr | Identification of a branchial cleft anomaly via handheld point-of-care ultrasound |
title_full_unstemmed | Identification of a branchial cleft anomaly via handheld point-of-care ultrasound |
title_short | Identification of a branchial cleft anomaly via handheld point-of-care ultrasound |
title_sort | identification of a branchial cleft anomaly via handheld point-of-care ultrasound |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009347/ https://www.ncbi.nlm.nih.gov/pubmed/35449698 http://dx.doi.org/10.15557/JoU.2022.0012 |
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