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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...

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Autores principales: León Sanguano, Daysi, Jara Santamaria, Christian, Jara Santamaria, Bryan, Burbano Piñuela, Liseth, Vásquez Bracho, Diego, Palacios Molina, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
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.
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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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