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Persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. A case report
BACKGROUND: We present the case of a 24-year-old woman with respiratory distress associated with a cyst of the fourth branchial cleft that displaced and compressed the upper airway, so the cervical mass was surgically resected, the patient recovered completely. CASE PRESENTATION: We present the case...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568760/ https://www.ncbi.nlm.nih.gov/pubmed/36183589 http://dx.doi.org/10.1016/j.ijscr.2022.107668 |
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author | León Sanguano, Daysi Jara Santamaria, Christian Jara Santamaria, Bryan Burbano Piñuela, Liseth Vásquez Bracho, Diego Palacios Molina, Antonio |
author_facet | León Sanguano, Daysi Jara Santamaria, Christian Jara Santamaria, Bryan Burbano Piñuela, Liseth Vásquez Bracho, Diego Palacios Molina, Antonio |
author_sort | León Sanguano, Daysi |
collection | PubMed |
description | BACKGROUND: We present the case of a 24-year-old woman with respiratory distress associated with a cyst of the fourth branchial cleft that displaced and compressed the upper airway, so the cervical mass was surgically resected, the patient recovered completely. CASE PRESENTATION: We present the case of a 24 year old female no other pertinent medical history who presents to the emergency department of way outpatient to respiratory distress associated with a cervical mass. A computed tomography (CT) scan shows a right cervical cystic mass that was displacing and compressing the upper airway. A total resection of the cystic mass was performed, after which the patient recovered completely. The histopathological analysis indicated a branchial cleft cyst which, due to its location, was thought to be the fourth branchial cleft, a rare congenital anomaly. CONCLUSIONS: Fourth branchial cleft cysts are rare malformations. They should be taken into consideration in the differential diagnosis of cervical masses in young adults, especially in situations of potentially life threatening airway compromise where an emergent procedure should be performed to guarantee the patient's life, the diagnosis is based on an adequate history and physical examination, with the support of imaging studies, with CT scan imaging being preferred as it provides information for surgical planning. Treatment is based on complete resection of the cystic mass, which relieves the symptoms of mass effect and decreases the risk of recurrence. |
format | Online Article Text |
id | pubmed-9568760 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-95687602022-10-16 Persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. A case report León Sanguano, Daysi Jara Santamaria, Christian Jara Santamaria, Bryan Burbano Piñuela, Liseth Vásquez Bracho, Diego Palacios Molina, Antonio Int J Surg Case Rep Case Report BACKGROUND: We present the case of a 24-year-old woman with respiratory distress associated with a cyst of the fourth branchial cleft that displaced and compressed the upper airway, so the cervical mass was surgically resected, the patient recovered completely. CASE PRESENTATION: We present the case of a 24 year old female no other pertinent medical history who presents to the emergency department of way outpatient to respiratory distress associated with a cervical mass. A computed tomography (CT) scan shows a right cervical cystic mass that was displacing and compressing the upper airway. A total resection of the cystic mass was performed, after which the patient recovered completely. The histopathological analysis indicated a branchial cleft cyst which, due to its location, was thought to be the fourth branchial cleft, a rare congenital anomaly. CONCLUSIONS: Fourth branchial cleft cysts are rare malformations. They should be taken into consideration in the differential diagnosis of cervical masses in young adults, especially in situations of potentially life threatening airway compromise where an emergent procedure should be performed to guarantee the patient's life, the diagnosis is based on an adequate history and physical examination, with the support of imaging studies, with CT scan imaging being preferred as it provides information for surgical planning. Treatment is based on complete resection of the cystic mass, which relieves the symptoms of mass effect and decreases the risk of recurrence. Elsevier 2022-09-17 /pmc/articles/PMC9568760/ /pubmed/36183589 http://dx.doi.org/10.1016/j.ijscr.2022.107668 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report León Sanguano, Daysi Jara Santamaria, Christian Jara Santamaria, Bryan Burbano Piñuela, Liseth Vásquez Bracho, Diego Palacios Molina, Antonio Persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. A case report |
title | Persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. A case report |
title_full | Persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. A case report |
title_fullStr | Persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. A case report |
title_full_unstemmed | Persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. A case report |
title_short | Persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. A case report |
title_sort | persistent brachial cleft as an infrequent cause of infraglottic stridor and airway obstruction in a 24 year old woman. a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568760/ https://www.ncbi.nlm.nih.gov/pubmed/36183589 http://dx.doi.org/10.1016/j.ijscr.2022.107668 |
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