0000000001085715
AUTHOR
Ismael Mallea-cañizares
[Double second branchial cleft anomaly].
Second branchial cleft anomalies are the most common of this type of neck masses. They can be classified in four types (Bailey/Proctor classification) according to their location. Type II is the most common, and related to vital neck structures such as the carotid artery and jugular vein. Cysts are the most frequent among them. Management consists of surgical excision of the cyst and tract by cervicotomy to avoid recurrence. We present an extremely rare case of a 32-year-old male who presented a sudden appearance of a right lateral neck mass that was identified by an image study as a double branchial cleft cyst. A review of simultaneous branchial cleft cyst in the literature is also made.
Doble anomalía de la segunda hendidura branquial
Las anomalias de la segunda hendidura branquial son las mas comunes. Hay 4 tipos (clasificacion de Bailey/Proctor) segun su localizacion. El tipo II, que es el mas comun, esta en contacto con los grandes vasos. Su forma de presentacion es diversa, aunque la mas frecuente es la quistica. El tratamiento es quirurgico con extirpacion completa por cervicotomia para evitar recidivas. Presentamos el caso clinico extremadamente raro de un varon de 32 anos con debut brusco de tumoracion laterocervical derecha, con estudio de imagen que demuestra la presencia de doble quiste branquial. Revisamos en la literatura casos de simultaneidad de quistes branquiales.