Symptomatic Solid Ectopic Cervical Thymus in a 2-Month-Old Infant: Case Report

Nursultan Abakir1, Fakih Cihat Eravcı1, Ganime Dilek Emlik2

  • 1Department of Otorhinolaryngology, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.

Insights

Ectopic cervical thymus (ECT) is a rare pediatric neck mass. This case highlights a symptomatic infant with submandibular ECT, emphasizing prompt diagnosis and surgical excision for favorable outcomes.

Area of Science:

  • Pediatric Surgery
  • Head and Neck Pathology
  • Endocrinology

Background:

  • Ectopic cervical thymus (ECT) is an uncommon congenital anomaly.
  • While often asymptomatic, ECT can present with compressive symptoms.
  • Solid forms of ECT are rare and typically symptomatic.

Observation:

  • A case report of an infant presenting with shortness of breath due to a submandibular ectopic cervical thymus.
  • Submandibular ECTs are frequently solid and large, predisposing to compressive issues.
  • The infant experienced respiratory distress attributed to the neck mass.

Findings:

  • Solid ectopic cervical thymus in the submandibular region can cause significant respiratory compromise in infants.
  • Diagnostic considerations for pediatric neck masses must include ectopic cervical thymus.
  • Surgical excision is crucial for managing symptomatic pediatric ECT.

Implications:

  • Highlights the importance of including pediatric ECT in the differential diagnosis of neck masses.
  • Underscores the need for timely surgical intervention to prevent severe complications.
  • Provides insights into the management of rare pediatric head and neck pathologies.

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