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Recurrent neck abscess due to a bronchogenic cyst in an adult

Published online by Cambridge University Press:  16 March 2010

A J C Hazenberg ,
L M Pullmann ,
R-P Henke  and
F Hoppe
A J C Hazenberg*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Klinikum Oldenburg, Germany
L M Pullmann
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Klinikum Oldenburg, Germany
R-P Henke
Affiliation:
Department of Pathology, Klinikum Oldenburg, Germany
F Hoppe
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Klinikum Oldenburg, Germany
*
Address for correspondence: Dr Aldert J C Hazenberg, Department of Otorhinolaryngology – Head and Neck Surgery, Rahel-Straus-Straße 10, 26133 Oldenburg, Germany. Fax: +49 441 403 2308 E-mail: a.hazenberg@gmail.com
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Abstract

Background:

Neck abscesses can originate from congenital cervical cysts. Cervical cysts of bronchogenic origin are rare and often asymptomatic. Common symptoms of bronchogenic cysts are stridor, dyspnoea and dysphagia. The reported patient represents the second published case of a bronchogenic cyst causing a neck abscess in an adult.

Case report:

We report a case of a cervical bronchogenic cyst presenting as a recurrent supraclavicular abscess in a middle-aged woman. During extirpation, a fistula was demonstrated to the right upper lobe of the lung, suspected because the cyst inflated synchronously with respiration.

Discussion:

The symptoms of bronchogenic cysts are due to the effects of compression or fistulas. In the majority of these cysts, a thorough investigation involving history, examination and radiological imaging does not clearly demonstrate a fistula. Therefore, extirpation is both diagnostic and therapeutic.

Conclusion:

A bronchogenic cyst is a very rare cause of a recurrent deep neck abscess. Total extirpation is the treatment of choice.

Keywords

Bronchogenic CystNeck AbscessAdult
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 12 , December 2010 , pp. 1325 - 1328
Copyright
Copyright © JLO (1984) Limited 2010

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Footnotes

Presented at the 7th annual meeting of the North German Fellowship of Otorhinolaryngology and Head and Neck Surgery, 1 April 2007, Kiel, Germany.

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