Unravelling the Enigmatic: A Case Report on Type 1 Infected first Branchial Cyst and Surgical Management


Dr Mittal Patel

ENT Consultant, Ahmedabad (Gujarat)

Year: 2024, Volume: 1, Issue: 1, Pages: 6-11, Date of Publication: 30 March 2024


Type 1 first Branchial cysts are uncommon congenital anomalies that often pose diagnostic challenges due to their varied presentations and potential for misidentification. We present a case report of a patient diagnosed with a type 1 first Branchial cyst, discussing the clinical manifestation, diagnostic approach, and successful surgical management. A 52-year-old female presented with a painful, recurrent, fluctuant swelling in the left lateral neck region, which was initially misdiagnosed as an infected lymph node. Imaging studies revealed a cystic lesion possibly arising from Parotid gland. Surgical excision was performed, and Histopathological examination confirmed the diagnosis of a type 1 first Branchial cyst. This case emphasizes the importance of considering Branchial anomalies in the differential diagnosis of lateral neck masses and highlights the significance of accurate diagnosis and timely surgical intervention for optimal patient outcomes.

Keywords: Type 1 Branchial cyst, lateral neck mass, congenital anomaly, Cysts, First Branchial