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Updated: Mar 17, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Saccular cyst with atypical presentation
A Zamfir-Chiru-Anton1, D C Gheorghe2
1Department of Otorhinolaryngology, "G. Alexandrescu" Children Emergency Hospital, Bucharest, Romania.
Unlabelled:
Respiratory obstruction and stridor in infants and children are not uncommon. A rare cause of these sometimes life-threatening symptoms is the congenital saccular cyst.
Objectives:
We present the case of a 5-year-old girl with a cervical tumor, which appeared after a laryngeal endoscopic surgery of a saccular cyst with two relapses and a particular local evolution of its recurrence through the cricothyroid membrane.
Material And Method:
The patient data has been reviewed over the entire follow-up period and a thorough an analysis of her investigations and surgery was performed.
Results:
The unusual evolution of this case was marked by an atypical exteriorization - not found in the published literature. The surgical approach was external, by paramedian thyrotomy, with no further long-term recurrence.
Conclusions:
An accurate diagnosis of saccular cysts can be made with the help of medical history, by an endoscopic visualization of the lesion and by the CT-scan imaging of the cervical region. Sometimes, saccular cysts can extend beyond laryngeal limits, determining fluid-filled tumors in the cervical region.
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