Sujitha U, Sampurna K, Anunayi J, Triveni B
A 32 years old male presented in our hospital with swelling in right side of lateral aspect of lower neck for 6 months which was initially small in size, gradually increased over 6 months to present size of 6 x 5 cms. He complained of slight discomfort during neck movement. He had no pain over swelling, shortness of breath, dysphagia, dysphonia and had no other swelling in body. He was operated for similar swelling in right side of neck at same location 1 year back. He remained asymptomatic for 6 months; then he noticed a recurrence of present swelling in same location. Swelling was soft, cystic, globular, non-fluctuant, situated in the posterior triangle of right side of neck above clavicle behind sternocleidomastoid with smooth surface; measured 6 x 5 cms with transillumination test being positive. Transverse scar was present. Swelling was nonpulsatile, no dilated neck veins were visible, no other swelling was seen in the neck, trachea is centrally placed.
