Recurrent neck abscess due to a bronchogenic cyst in an adult

Abstract

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

Bronchogenic cyst of the neck in an elder patient: A case report

“…Most bronchogenic cyst are located in the thorax, but cervical cysts have been reported. The presence of these cysts in a cervical location can be explained by several theories [16]. Budding from an atypical upper location in the trachea could originate a cervical bronchogenic cyst [6,17].…”

“…They become symptomatic, however, either due to mass effect or due to infection [2,3,6]. The compression of surrounding structures can result in dyspnea, cough and dysphagia [1,15,16]. Infection of deep cysts can originate an abscess, and superficial ones can result in fistulation [6,13,18,21,22].…”

“…The differential diagnosis comprises other malformations such as branchial cleft cysts, thyroglossal duct cysts, cystic teratomas, cystic hygromas, lymphangiomas, epidermal and dermoid cysts, laryngoceles, ranulas, oesophageal duplication cysts and tracheal diverticula. Furthermore, it includes thymic and thyroid cysts, lipomas, parathyroid cysts, cystic neuromas, cystic papillary carcinoma of the thyroid gland and cystic degeneration of a lymph node [1,3,5,6,[8], [9], [10], [11], [12],15,16,21].…”

Ectopic congenital bronchogenic cyst accompanied by infection appearing in the cervical region of an elderly female patient: A case report

“…The cysts usually appear in the mediastinum and chest of infants and children, but they seldom occur in adults, particularly in elderly individuals (2)(3)(4). The ratio of males to females diagnosed with congenital cysts is 4:1 (5).…”

“…BC of the cervical region belongs to the atypical group. BCs are easily confused with third or fourth branchial cleft cysts, particularly when the lesions occur in the root of cervical region accompanied by deep neck abscesses (2,3). Considering the recurrence of cysts following incomplete excision and the possibility of malignant biological behavior, a complete resection is the optimal method for the treatment of BC.…”