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Friday 20 June 2014

CASE 263: BUFFALO'S NECK, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 27 yo, dental  pain  on right mandibular  for one week, he detected  the right side of neck along  SCM muscle getting hot and swelling, pain and fever (see photo).


He was treated  with antibiotics and went to ultrasound scanning. Sonologist detected this neck mass beeing   like abscess by fluid collection on right and left neck (see 3 photo and video).







MSCT found out the right mass along SCM muscle and one other mass on left side nearby thyroid gland.





Puncture this mass  removed the pus but  direct examination  with gram stain no bacteria. 
Operation for drainage. 




DISCUSSION: IT IS  A CYST of  INFECTION at LATERAL SITE  OF THE NECK. THE MOST COMMON IS  BRANCHIAL CYST.
CT  ALSO SUPPORTED THIS  DIAGNOSIS.

REF..ANATOMY OF  BRANCHIAL CYSTS.


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