Swelling on the neck with mucoid discharge

A 2-year-old male child, born out of non-consanguineous marriage, presented to our clinic with a small, compressible, soft, and asymptomatic swelling [Figure 1] of size 2 × 2 cm over the right lateral aspect of the neck. The swelling had a central opening, leading to a blind ending in the deep neck tissue with history of occasional mucoid discharge. The lesion was present since birth. Ultrasound revealed a well-defined hypoechoic tract extending up to the superficial cervical fascia. Magnetic resonance imaging neck revealed a 13 mm hypointense sinus tract with a maximum width of 2.2 mm extending up to the level of the right sternocleidomastoid at the lower mid-third junction. Based on these findings, we made a diagnosis of branchial sinus. Branchial sinuses result from the maldevelopment of the branchial apparatus. They commonly arise from the second branchial arch. The treatment for branchial sinus is complete surgical removal under general anesthesia.^[1]

Close

Figure 1:

A small, compressible, soft, and asymptomatic swelling of size 2 × 2 cm over the right lateral aspect of the neck.

Export to PPT