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Virtual Pediatric Hospital: Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology: Case 53

Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology

Case 53

Michael P. D'Alessandro, M.D.,
Steven J. Fishman, M.D.,
Deborah E. Schofield, M.D.

Peer Review Status: Internally Peer Reviewed
Chief Complaint:
Six week old female with a small sinus in the right neck.

Clinical History:
The patient was a 6 week old female with a small punctate sinus located at the right sternocleidomastoid that had expressed some secretions.

Clinical Physical Exam:
Small punctate sinus at the right sternocleidomastoid.

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Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Branchial cleft sinus

Imaging Findings:
No pre-operative imaging was performed.

Imaging Differential Diagnosis:
None

Operative Findings:
The patient underwent an excision of the branchial cleft sinus tract which was 10 cm in length.

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Pathological Findings:
Examination of the surgical specimen revealed findings consistent with a diagnosis of second branchial cleft sinus.

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Final Diagnosis:
Second Branchial Cleft Sinus

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.

Similar Cases:
None

References:
None

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