Qumsieh Osama, Heeh Maram, Abukhalaf Anas, Altel Kenana, Amer Fatima, Nawajaa Sajeda
Pediatric Surgery, Palestine Polytechnic University, Hebron, PSE.
Pediatric Surgery, Al-Ahli Hospital, Hebron, PSE.
Cureus. 2024 Oct 16;16(10):e71624. doi: 10.7759/cureus.71624. eCollection 2024 Oct.
Anomalies of the fourth branchial cleft are exceedingly uncommon, presenting with a diverse array of clinical manifestations. The majority of branchial cleft anomalies, approximately 95%, are of the second type, with a mere 2% attributed to the fourth type. The latter is notably more prevalent on the left side, with reports indicating an 85% incidence. Herein, we report the case of a neonate presenting with a right-sided fourth branchial cleft cyst, which manifested at birth and subsequently underwent progressive enlargement, resulting in airway and esophageal compromise. The management strategy involved surgical excision, and the definitive diagnosis was established through histopathological examination, underscoring the rarity and diagnostic challenge of this form of branchial cyst.
第四鳃裂异常极为罕见，临床表现多样。大多数鳃裂异常（约95%）为第二型，第四型仅占2%。后者在左侧更为常见，报告显示发生率为85%。在此，我们报告一例新生儿右侧第四鳃裂囊肿病例，该囊肿在出生时即出现，随后逐渐增大，导致气道和食管受压。治疗策略包括手术切除，最终通过组织病理学检查确诊，突出了这种鳃裂囊肿的罕见性和诊断挑战。
