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Second branchial fistula with unusual presentation--a case report
Siu-Kwan Ng1, Michael C F Tong, Charles A van Hasselt
1Department of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, People's Republic of China.
The Laryngoscope
|June 29, 2010
Summary
Complete second branchial fistula, a rare condition, typically presents with neck discharge. This case highlights an unusual presentation of throat discomfort and bloody saliva, resolved by fistula excision.
Area of Science:
- Otolaryngology
- Surgical Pathology
Background:
- Second branchial fistula is a rare congenital anomaly originating from incomplete obliteration of the second branchial cleft during embryonic development.
- Classical symptoms include recurrent cervical discharge from an external sinus tract, often associated with neck pain and swelling.
Observation:
- This report details an atypical case of a complete second branchial fistula.
- The patient presented with a chronic history of throat discomfort and recurrent episodes of blood-stained saliva, rather than the typical external discharge.
Findings:
- Surgical excision of the complete second branchial fistula led to complete resolution of the patient's unusual presenting symptoms.
- Histopathological examination confirmed the diagnosis of a complete second branchial fistula.
Implications:
- This case expands the spectrum of clinical presentations for second branchial fistulas.
- Highlights the importance of considering branchial anomalies in the differential diagnosis of chronic throat discomfort and unexplained hemoptysis or blood-stained saliva.
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