Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-23T23:40:34.346Z Has data issue: false hasContentIssue false
  • English
  • Français

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: [email protected]
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

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

References

1Ustundag, E, Iseri, M, Keskin, G, Yayla, B, Muezzinoglu, B. Cervical bronchogenic cysts in head and neck region: review of the literature. J Laryngol Otol 2005;119:419–23CrossRefGoogle Scholar
2Moz, U, Gamba, P, Pignatelli, U, D'Addazio, G, Zorzi, F, Fiaccavento, S et al. Bronchogenic cysts of the neck: a rare localization and review of the literature. Acta Otorhinolaryngol Ital 2009;29:36–40Google Scholar
3Cuypers, P, De Leyn, P, Cappelle, L, Verougstraete, L, Demedts, M, Deneffe, G. Bronchogenic cysts: a review of 20 cases. Eur J Cardiothorac Surg 1996;10:393–6CrossRefGoogle ScholarPubMed
4Zvulunov, A, Amichai, B, Grunwald, MH, Avinoach, I, Halevy, S. Cutaneous bronchogenic cyst: delineation of a poorly recognized lesion. Pediatr Dermatol 1998;15:277–81CrossRefGoogle ScholarPubMed
5Ozel, SK, Kazez, A, Koseogullari, AA, Akpolat, N. Scapular bronchogenic cysts in children: case report and review of the literature. Pediatr Surg Int 2005;21:843–5CrossRefGoogle ScholarPubMed
6Liang, MK, Yee, HT, Song, JW, Marks, JL. Subdiaphragmatic bronchogenic cysts: a comprehensive review of the literature. Am Surg 2005;71:1034–41CrossRefGoogle ScholarPubMed
7Sullivan, SM, Okada, S, Kudo, M, Ebihara, Y. A retroperitoneal bronchogenic cyst with malignant change. Pathol Int 1999;49:338–41CrossRefGoogle ScholarPubMed
8Newkirk, KA, Krowiak, EJ, Tassler, AB, Deeb, Z. Bronchogenic cysts of the neck in adults. Ann Otol Rhinol Laryngol 2004;113:691–5CrossRefGoogle ScholarPubMed
9Shimazu, R, Kuratomi, Y, Inokuchi, A. A case of an upper cervical bronchogenic cyst in an adult. Auris Nasus Larynx 2006;3:351–3CrossRefGoogle Scholar
10Hadi, UM, Jammal, HN, Hamdan, ALM, Saad, AM, Zaatari, GZ. Lateral cervical bronchogenic cyst: an unusual cause of a lump in the neck. Head Neck 2001;23:590–3CrossRefGoogle ScholarPubMed
11Gaikwad, P, Muthusami, JC, Raj, JP, Rajinikanth, J, John, GM. Subcutaneous bronchogenic cyst. Otolaryngol Head Neck Surg 2006;135:951–2CrossRefGoogle ScholarPubMed
12Eng, CY, Quraishi, MS, Watson, MG. Bronchial or branchial cervical cyst? Otolaryngol Head Neck Surg 2006;135:958–9CrossRefGoogle ScholarPubMed
13Touloukian, RJ. Air filled bronchogenic cyst presenting as a cervical mass in the newborn. J Pediatr Surg 1982;17:311–12CrossRefGoogle ScholarPubMed
14Lai, P, Nguyen, LH, Kim, PC, Campisi, P. An unusual case of biphasic stridor in an infant: suprasternal bronchogenic cyst. J Pediatr 2006;149:424CrossRefGoogle Scholar
15Maung, KH, Low, C, Knight, LC, Cullinane, CJ. Multiple cervical bronchogenic cysts. J Laryngol Otol 2006;120:145–7CrossRefGoogle ScholarPubMed
16Park, OK, Buford, CH. Bronchogenic cyst of neck and superior mediastinum. Ann Surg 1955;142:130–3CrossRefGoogle ScholarPubMed
17Al-kasspooles, MF, Alberico, RA, Douglas, WG, Litwin, AM, Wiseman, SM, Rigual, NR et al. Bronchogenic cyst presenting as a symptomatic neck mass in an adult: case report and review of the literature. Laryngoscope 2004;114:2214–17CrossRefGoogle Scholar
18McManus, K, Holt, GR, Aufdemorte, TM, Trinkle, JK. Bronchogenic cyst presenting as deep neck abscess. Otolaryngol Head Neck Surg 1984;92:109–14Google ScholarPubMed
19Sadler, TW. Respiratory system. In: Sadler, TW, ed. Langman's Medical Embryology, 7th edn. Baltimore: Williams & Wilkins, 1995;232–41Google Scholar
20Pujary, K, Pujary, P, Shetty, R, Hazarika, P, Rao, L. Congenital cervical bronchogenic cyst. Int J Pediatr Otorhinolaryngol 2001;57:145–8CrossRefGoogle ScholarPubMed
21Mills, CC, Amin, M, Manisali, M. Salivary duct fistula and recurrent buccal space infections: a complication of Crohn's disease. J Oral Maxillofac Surg 2003;61:1485–7CrossRefGoogle ScholarPubMed
22Lanzafame, S, Caltabiano, R, Puzzo, L, Cappellani, A. Thyroid transcription factor 1 (TTF-1) and p63 expression in two primary thyroid papillary carcinomas of branchial cleft cysts. Virchows Arch 2006;449:129–33CrossRefGoogle ScholarPubMed