Posterior mediastinal branchial cleft cyst: An unusual site

Abdul Rashid, Vaqas Ahmad, Saqib Qazi, Abdul Gaffar Billoo, Sajida Rashid, Ali Faisal Saleem

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1 Citation (Scopus)


A two and a half year old Kenyan girl presented with recurrent chest infections and difficulty in swallowing. Her clinical and laboratory workup was suggestive of lower respiratory tract infection for which she received a course of antibiotics; however, she remains symptomatic after the management of her suspected diagnosis. Therefore, further radiological workup including a chest CT scan and barium study were performed. This showed a homogeneous mass surrounded by ascending and descending aorta in the posterior mediastinum that was compressing the middle esophagus. She had a posterolateral thoracotomy which revealed a cystic mass with smooth surfaces (5 x 5cm) in the posterior mediastinum. Histopathology showed branchial cleft cyst predominately lined by stratified squamous epithelium, with lymphocytes predominance. A final diagnosis of posterior mediastinal branchial cleft cyst was made. She was discharged home and remained well at follow-up.

Original languageEnglish
Pages (from-to)S117-S118
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Publication statusPublished - 2014


  • Branchial cyst
  • Dysphagia
  • Fourth branchial cleft anomaly
  • Midthoracic esophagus
  • Posterior mediastinum
  • Respiratory infection


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