Unusual case of double fistulation of a brachiogenous cyst

Česká verzia

Authors: Ivo Stárek ¹ ; Horáková Z. ¹; Richard Salzman ¹ ; Skanderová D. ²
Authors place of work: Klinika otorinolaryngologie a chirurgie hlavy a krku LF UP a FN Olomouc ¹; Ústav klinické a molekulární patologie LF UP a FN Olomouc ²
Published in the journal: Otorinolaryngol Foniatr, 71, 2022, No. 4, pp. 234-237.
Category: Case Reports
doi: https://doi.org/10.48095/ccorl2022234

Summary

The authors describe a very unusual case of double external metachronous fistulation of a second branchial cleft cyst in a 54-year-old man. Significant difficulties in the clinical differential diagnosis of this developmental anomaly, comprising primarily malignant tumor and tuberculosis, were resolved only with histopathologic examination of the surgical specimen. The mechanism of the formation of both successively manifesting fistulas, developing in the milieu of chronic non-specific inflammation, is not clear. However, the absence of organoid pattern of the fistulas precludes that they were – unlike the cyst – relicts of the branchial apparatus.

Keywords:

fistula – branchiogenic cyst – differential diagnosis

Zdroje

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