Unusual coexistence of first and second branchial fistulas: clinical case and review of the literature
| Autor: | Guangqi Li, Genwang Pei, Danqing Liu, Jianyan Wang, Jun Qiu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Branchial fistula
medicine.medical_specialty Medicine (General) Fistula Secondary infection Case Report Missed diagnosis 030204 cardiovascular system & hematology Biochemistry Complete resection Craniofacial Abnormalities surgery 03 medical and health sciences 0302 clinical medicine R5-920 secondary infection Humans Medicine Child Earlobe complete resection business.industry Biochemistry (medical) Pharyngeal Diseases Cell Biology General Medicine medicine.disease Surgery Branchial Region medicine.anatomical_structure 030220 oncology & carcinogenesis Female Clinical case business Neck preoperative imaging Preoperative imaging |
| Zdroj: | Journal of International Medical Research, Vol 48 (2020) The Journal of International Medical Research |
| ISSN: | 1473-2300 |
| Popis: | Branchial fistulas are uncommon in the clinical setting. The coexistence of first and second branchial fistulas has not been previously reported. We herein describe a 12-year-old girl who presented with a 2-year history of repeated swelling and purulence behind the right earlobe and neck. According to the patient’s physical and auxiliary examination findings, she was diagnosed with coexisting first and second branchial fistulas, both of which were completely removed by surgery. No clinical signs of fistula recurrence were present at the patient’s 20-month postoperative follow-up. Ipsilateral coexisting first and second branchial fistulas are very rare; thus, a false-positive diagnosis can easily occur if the doctor does not carefully perform specialized physical examinations. Surgery is an effective method for treating this condition. Adequate preoperative imaging preparation is imperative to ensure the most effective course of treatment. The purpose of this article is to improve clinicians’ awareness of this disease, thereby effectively reducing the rates of missed diagnosis and recurrence. |
| Databáze: | OpenAIRE |
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