This Article Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Robinson, A. C. Articles by Radcliffe, G. Search for Related Content PubMed PubMed Citation Articles by Robinson, A. C. Articles by Radcliffe, G.

The teenager's swollen neck

Departments of Otolaryngology and Radiology, The Royal Free Hospital, Hampstead, London NW3 2QG

This excerpt was created in the absence of an abstract.

A 13-year-old girl presented with a history of left-sided neck swelling since birth. The swelling fluctuated in size and enlarged on Valsalva manoeuvre and straining. Six weeks prior to presentation she developed tenderness and persistent swelling below the angle of the left mandible. Examination revealed a soft, fluctuant, mobile, non-pulsatile mass in that region (Fig. 1).

Plain radiography and tomography of the neck and larynx were unhelpful. Computed tomography (CT) revealed a cystic mass, with some peripheral enhancement following intravenous contrast medium, lying postero-lateral to the lower border of the mandible and lateral to the hyoid bone (Fig. 2). Aspiration of the cyst revealed dark blood, and injection of contrast medium into the cyst showed slow clearing from the lesion (Fig. 3). Common carotid arteriography showed no evidence of a chemodectoma.

Received for publication November 1, 1985. Revision received January 1, 1985.