The recurrent cervical swelling syndrome

2011 ◽  
Vol 27 (2) ◽  
pp. 90-92 ◽  
Author(s):  
C Franceschi ◽  
S Gianesini ◽  
A Bahnini ◽  
C Laurian ◽  
E Menegatti ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Thoracic Duct ◽  
Colour Doppler ◽  
Supraclavicular Fossa ◽  
Cervical Swelling

The objective of this study is to report an overlooked cause of cervical swelling linked to a thoracic duct (TD) intraluminal obstruction. Four consecutive patients underwent supraclavicular fossa echo-colour-Doppler assessment (ECD) because of recurrent spontaneous cervical swelling. In all patients, during the swelling period we documented a TD dilation with hyperechogenic content, resulting undetectable during asymptomatic periods; ECD also allowed an effective differential diagnosis with TD cysts, obstructive malignancy or other causes of cervical swelling. In conclusion, ECD is to be considered an effective tool in cervical swelling and TD anomalies investigation.

Reliability of colour Doppler ultrasound in the differential diagnosis of acute scrotum

2011 ◽  
Vol 152 (23) ◽  
pp. 909-912 ◽  
Author(s):  
Laura Sándor ◽  
Tímea Gajda ◽  
Vanda Aranyi ◽  
István Csízy ◽  
Tamás Cserni
Keyword(s):  
Differential Diagnosis ◽  
Doppler Ultrasound ◽  
Predictive Value ◽  
Testicular Torsion ◽  
Color Doppler ◽  
False Negative ◽  
Acute Scrotum ◽  
Colour Doppler ◽  
Colour Doppler Ultrasound ◽  
Operative Notes

Acute scrotum, when testicular torsion is suspected, needs emergency exploration. However, acute scrotum caused by torsion of the Morgagni hydatid and epididymitis can be managed conservatively. Real time colour Doppler ultrasound is becoming a more and more popular tool in the differential diagnosis, however, its reliability is still not widely accepted and exploration is preferred. Material and methods: Case notes of 124 patients treated with acute scrotum during the last 10 years have been reviewed, and the result of physical examination, color Doppler ultrasound, operative notes and clinical outcome were analysed. Results: The final diagnosis was torsion of Morgagni hydatid in 100 cases, furthermore 11 testicular torsion, 8 epididymitis and 10 idiopathic cases were identified. Preoperative colour Doppler ultrasound was done in 45 cases, and exploration was performed in 111 cases. In 38 cases the colour Doppler ultrasound excluded and in 7 cases verified the possibility of testicular torsion. Two false positive and 0 false negative cases were identified. The specificity was 95.0%, sensitivity 100.0%, negative predictive value 100.0%, and positive predictive value 71.4%. Discussion: Colour Doppler ultrasound seems to be a reliable tool in the differential diagnosis of acute scrotum. Its routine use could reduce the number of emergency explorations. Orv. Hetil., 2011, 152, 909–912.

Spontaneous thoracic duct cyst presenting as a left supraclavicular mass – report of a case and review of literature

2009 ◽  
Vol 24 (2) ◽  
pp. 82-84 ◽  
Author(s):  
Yan An Wang ◽  
Zhi Yuan Zhang ◽  
Jia Wei Zheng ◽  
Wei Min Ye ◽  
Li Zhen Wang ◽  
...  
Keyword(s):  
Chemical Analysis ◽  
Fine Needle Aspiration ◽  
Thoracic Duct ◽  
Needle Aspiration ◽  
Management Options ◽  
Duct Cyst ◽  
Fine Needle ◽  
Duct Ligation ◽  
Supraclavicular Fossa ◽  
Rare Differential Diagnosis

Spontaneous and asymptomatic supraclavicular thoracic duct cysts occurring in the neck are the rarest. We report a case of a huge thoracic duct cyst occurring in the supraclavicular fossa with a review of the literature and management options. A 28-year-old female had a left supraclavicular mass with a 10-year history. A cervical thoracic duct cyst was diagnosed after chemical analysis of the milky fluid obtained by preoperative fine-needle aspiration. Treatment was achieved by surgical excision of the cyst and thoracic duct ligation. Pathological analysis of the cyst after excision confirmed the diagnosis. In the case of left supraclavicular masses, the rare differential diagnosis of thoracic duct cysts must be considered as a possibility. Magnetic resonance imaging as the imaging method of choice and chemical analysis of the milky fluid obtained by preoperative fine-needle aspiration are sufficient for primary diagnosis. The treatment of this disease consists of simple excision.

Thoracic duct cysts: A rare differential diagnosis

2005 ◽  
Vol 132 (2) ◽  
pp. 330-333 ◽  
Author(s):  
Frank Gottwald ◽  
Heinrich Iro ◽  
Carsten Finke ◽  
Johannes Zenk
Keyword(s):  
Differential Diagnosis ◽  
Thoracic Duct ◽  
Jugular Vein ◽  
Primary Diagnosis ◽  
Imaging Method ◽  
Left Internal Jugular Vein ◽  
Duct Cyst ◽  
X Ray ◽  
Adjacent Structures ◽  
Rare Differential Diagnosis

OBJECTIVE: Cysts of the thoracic duct located in the supraclavicular region are uncommon. To date only 12 cases in this topographic area have been described in the literature. Between 1998 and 2002, 5 patients presented to our department with the primary symptom of a palpable soft left-supracavicular swelling that could be displaced relative to adjacent structures. SETTING: In each case, sonography showed a hypoechogenic, almost echo-free, distinctly outlined polycyclic structure with distal echo enhancement at the junction of the left internal jugular vein and the subclavian vein. All 5 patients underwent surgery, the cysts were extirpated, and the numerous communicating lymph vessels localized and meticulously ligated. Pathohistologic analysis of the milky, yellowish fluid obtained by intraoperative puncture confirmed the initial suspicion of a thoracic duct cyst in all patients. CONCLUSION: In the case of left supraclavicular masses, the rare differential diagnosis of a thoracic duct cyst must be considered as a possibility. Sonography as the imaging method of choice is sufficient for primary diagnosis. In addition, a thorax x-ray should be performed in order to exclude an intrathoracic involvement. Surgical extirpation marks the therapy of choice in treating such cysts.

scholarly journals Spontaneous cervical swelling syndrome as a rare cause of neck edema: case series and literature review

2021 ◽  
Vol 2021 (5) ◽  
Author(s):  
Albrecht Betrains ◽  
Robert Hermans ◽  
Olivier Gheysens ◽  
Vincent Vander Poorten ◽  
Willy E Peetermans ◽  
...  
Keyword(s):  
Literature Review ◽  
Biochemical Analysis ◽  
Case Series ◽  
Acute Onset ◽  
Rare Disorder ◽  
Adult Women ◽  
Supraclavicular Fossa ◽  
Cervical Swelling ◽  
Tracer Accumulation ◽  
Acute Event

ABSTRACT Spontaneous cervical swelling syndrome (SCSS) is a rare disorder characterized by unprovoked, self-limiting and often unilateral cervical edema. SCSS is a recurrent disorder that predominantly affects adult women and is not associated with laboratory abnormalities. We report on eight female patients with a mean age of 56 (38–82) years at the time of the first presentation. The episodes were characterized by an acute onset in all patients and had a mean duration of 3.8 (1–7) days. Biochemical analysis did not reveal any related abnormalities. Imaging of the neck and chest demonstrated diffuse edema in the supraclavicular fossa and left infrahyoid region in all patients. At the time of the acute event, lymphatic scintigraphy revealed tracer accumulation in the left supraclavicular region in three patients and could not demonstrate any abnormalities in the in-between episodes in two patients.

scholarly journals Thoracic duct cyst of posterior mediastinum: a “challenging” differential diagnosis

2016 ◽  
Vol 4 (9) ◽  
pp. 166-166
Author(s):  
Michalopoulou-Manoloutsiou Electra ◽  
Athanasiou Evangelia ◽  
Bobos Mattheos ◽  
Hatzibougias I. Dimitris ◽  
Paul Zarogoulidis ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Thoracic Duct ◽  
Posterior Mediastinum ◽  
Duct Cyst
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