Second Branchial Cleft Cyst-A Case Report

Branchial cleft cysts are common congenital head and neck masses predominantly presenting in a pediatric setting. This report describes a 32-year-old female with swelling on the right lateral aspect of the neck, which expanded slowly but progressively. The clinical suspicion was that of a branchial cleft cyst. Sonography revealed a homogeneously hypo- to anechoic mass with well-dened margins and no intralesional septa. Color Doppler reviewed no internal vascularization. The ultrasound examination conrmed the clinical diagnosis of a second branchial cleft cyst, demonstrating the cystic nature of the mass and excluding the presence of complications. The patient was then submitted to excision. The pathology exam revealed features of a benign cyst. Post-operative evaluation was satisfactory.