Radiology Quiz Case 2
R. Ramírez-Camacho;
J. R. García Berrocal;
P. Borrego
Madrid, Spain
Arch Otolaryngol Head Neck Surg. 2001;127:1395-1396.
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A 74-YEAR-OLD MAN complained of an intermittently discharging sinus
at the anterior border of the lower third of the left sternocleidomastoid
muscle. The condition had been present since birth. He had no fever or other
systemic complaints. Physical examination of the oral cavity and pharynx showed
no fistulous opening. The fistulous tract was injected with a contrast medium
(Figure 1). An axial computed tomographic
scan of the neck is shown in Figure 2.
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Figure 1.
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Figure 2.
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What is your diagnosis?
Diagnosis: Second branchial cleft cyst and fistula
In this case, the patient presented with a fistula of the second branchial
cleft. In its lower third, a second branchial cleft fistula and sinus is encountered
along the anterior border of the sternocleidomastoid muscle and may be bilateral.
Typically, the second branchial cleft fistula runs deep to the platysma muscle,
ascends along the carotid sheath, and crosses . . . [Full Text of this Article]
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