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A rare congenital neck lump.

Richard Owen¹, John Bowen

¹Department of General Surgery, Arrowe Park Hospital, Wirral, UK. richowen83@hotmail.com

BMJ Case Reports

|September 11, 2012

Summary

A rare cervical duplication cyst (CDC) was diagnosed in a newborn. Surgical removal was successful, highlighting the importance of imaging for safe excision of these congenital neck anomalies.

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Area of Science:

Pediatric Surgery
Developmental Biology
Medical Imaging

Background:

Congenital neck masses can present diagnostic challenges.
Cervical duplication cysts (CDCs) are rare developmental anomalies.

Observation:

An asymptomatic left-sided neck lump was detected antenatally via ultrasound.
Postnatal imaging (ultrasound and CT) confirmed a cyst near the cervical esophagus, displacing the carotid sheath.

Findings:

Histological analysis revealed a 30x22x20 mm cyst with smooth muscle and respiratory epithelium, consistent with CDC.
The cyst's proximity to vital structures like the carotid sheath and esophagus was noted.

Implications:

Preoperative CT scanning is crucial for delineating anatomical relationships before surgical excision.
Complete excision of cervical duplication cysts can be safely achieved with careful surgical planning.

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