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Congenital piriform fossa sinus tract presenting as an asymptomatic neck mass in an infant

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Abstract

Background

A 5-month-old girl with an asymptomatic left-sided neck mass was demonstrated by ultrasound and upper gastrointestinal series (UGI), and confirmed at surgery, to have a congenital piriform fossa sinus tract (CPFST) that communicated with an intrathyroidal cyst.

Objective

To demonstrate a case of CPFST presenting as an asymptomatic neck mass. Nearly all cases of CPFST present with infection or pain, making this case unique.

Materials and methods

Case report and review of the literature.

Conclusions

CPFST with an associated cyst should be added to the differential diagnosis of asymptomatic cystic neck masses in infants, especially if the cyst is intrathyroidal by ultrasound.

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Fig. 1a, b.
Fig. 2a, b.

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Acknowledgements

The authors wish to acknowledge the assistance of Dr. Thomas L. Slovis, Dr. Wilbur L. Smith, and Amy Bloom with manuscript preparation and review.

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Authors and Affiliations

  1. Department of Pediatric Imaging, Children's Hospital of Michigan, Wayne State University School of Medicine, 3901 Beaubien Boulevard, Detroit, MI 48201, USA

    David A. Bloom

  2. Department of Radiology, Children's Radiological Institute, Columbus Children's Hospital, Columbus, Ohio, USA

    Brent H. Adler

  3. Department of Pediatrics, Columbus Children's Hospital, Ohio State University Medical Center, Columbus, Ohio, USA

    Robert C. Forsythe

  4. Department of Surgery, Columbus Children's Hospital, Ohio State University Medical Center, Columbus, Ohio, USA

    Khaled Mutabagani & Steven Teich

Authors
  1. David A. Bloom
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  2. Brent H. Adler
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  3. Robert C. Forsythe
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  4. Khaled Mutabagani
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  5. Steven Teich
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Corresponding author

Correspondence to David A. Bloom.

Additional information

Presented at the Society for Pediatric Radiology annual meeting, Naples, Florida, 2000

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Bloom, D.A., Adler, B.H., Forsythe, R.C. et al. Congenital piriform fossa sinus tract presenting as an asymptomatic neck mass in an infant. Ped Radiol 33, 360–363 (2003). https://doi.org/10.1007/s00247-003-0892-y

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  • DOI: https://doi.org/10.1007/s00247-003-0892-y

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