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DOI: 10.1055/s-0029-1246194
© Georg Thieme Verlag KG Stuttgart · New York
A Very Rare Case of a Giant Third Branchial Pouch Remnant Discovered in Utero
Publication History
Publication Date:
22 February 2010 (online)
Introduction
Branchial remnants are congenital malformations that arise from incomplete obliteration of the branchial apparatus during embryogenesis. Cysts originating from the third branchial pouch are very rare. We present a case of a large third branchial pouch cyst discovered in utero. To prevent respiratory insufficiency due to tracheal compression at birth, an ex utero intrapartum treatment (EXIT) was performed. The postnatal period was complicated by secondary infection and empyema formation. To our knowledge only one case of a third branchial cyst discovered in utero has been described previously [6].
References
- 1 Al-Khateeb TH, Al Zoubi F. Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg. 2007; 65 ((11)) 2242-2247
- 2 Benson MT, Dalen K, Mancuso AA. et al . Congenital anomalies of the branchial apparatus: embryology and pathologic anatomy. Radiographics. 1992; 12 ((5)) 943-960
- 3 Doi O, Hutson JM, Myers NA. et al . Branchial remnants: a review of 58 cases. J Pediatr Surg. 1988; 23 ((9)) 789-792
- 4 Jaka RC, Singh G. Complete congential third branchial fistula on the right side. Otolaryngol Head Neck Surg. 2007; 137 ((3)) 518-519
- 5 Nicollas R, Guelfucci B, Roman S. et al . Congenital cysts and fistulas of the neck. Int J Pediatr Otorhinolaryngol. 2000; 55 ((2)) 117-124
- 6 Robichaud J, Papsin BC, Forte V. Third branchial cleft anomaly detected in utero. J Otolaryngol. 2000; 29 ((3)) 185-187
- 7 Statham MM, Mehta D, Willging JP. Cervical thymic remnants in children. Int J Pediatr Otorhinolaryngol. 2008; 72 ((12)) 1807-1813
- 8 Tracy Jr TF, Muratore CS. Management of common head and neck masses. Semin Pediatr Surg. 2007; 16 ((1)) 3-13
- 9 Waldhausen JH. Branchial cleft and arch anomalies in children. Semin Pediatr Surg. 2006; 15 ((2)) 64-69
Correspondence
Dr. Z. J. de Langen
University Medical Center Gorningen
Paediatric Surgery
PO Box 30001
9700RB Groningen
Netherlands
Phone: +31 50361 2306
Fax: +31 50361 1745
Email: z.j.de.langen@chir.umcg.nl