인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Abstract Introduction Branchial cleft anomalies (BCAs) are congenital defects caused by incomplete involution of the embryological branchial apparatus, presenting as cysts, sinuses, or fistulae. Complete second branchial fistulas are particularly rare. This report describes a unique case of a complete second branchial fistula with an associated cyst causing significant airway compression and respiratory distress in an infant, highlighting the importance of early recognition and intervention to prevent serious complications. Case report A 1-month-old infant presented with severe respiratory distress marked by pronounced subcostal recessions and tracheal tug. Auscultation revealed abnormal upper airway sounds, indicating obstruction localised to the neck. Imaging studies, including computed tomography (CT), showed a well-defined, low-density cystic mass on the right side of the neck, extending from the base of the skull to the thoracic inlet. This mass caused tracheal deviation and airway compromise. Ultrasound confirmed a complex cyst displacing major neck vessels. Physical examination identified an external opening along the anterior border of the sternocleidomastoid muscle (SCM). Radiological and histopathological evaluations confirmed a diagnosis of a complete second branchial fistula with an infected cyst. The infant underwent complete surgical excision of the fistulous tract, the definitive treatment. Conclusion This rare case underscores the need for a high index of suspicion when assessing paediatric neck masses. Early, multidisciplinary management and timely surgical excision before infection are crucial to prevent airway compromise and improve outcomes. Awareness of such rare congenital anomalies is essential for prompt diagnosis and intervention, thereby reducing morbidity in affected infants.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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