Branchial Cyst a Delayed Presentation - Case Report

A 60-year-old female patient came with complaints of a swelling over the left side of the jaw which was noticed one year ago and was slowly progressive in nature. Past history- Patient was a known case of hypertension on Tab Telmisartan 40 mg OD, type 2 diabetes mellitus on Tab Metformin 250 mg BD with diabetic bilateral lower limb neuropathy for which she was on a combination of Tab Gabapentin 300 mg and Tab Nortryptylline 10 mg OD and hypothyroidism on Tab Thyronorm om 12.5 mcg OD. After thorough preoperative work up and optimisation of patient parameters, an excision of the cyst was undertaken under general anesthesia. The post operative period was uneventful, drain removed on POD 2 and the patient was discharged on POD 6 after suture removal. The histopathological report revealed features suggestive of a Branchial Cyst (most probably arising from the 2nd branchial cleft).