International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 1 , Pages 17-20, January 2009

Colonic duplication in the submandibular region of the neck

  • Jacob E. Smith

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, United States
  • ,
  • Mary K. Wren

      Affiliations

    • Department of Pathology, Medical University of South Carolina, United States
  • ,
  • Mary S. Richardson

      Affiliations

    • Department of Pathology, Medical University of South Carolina, United States
  • ,
  • David R. White

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, United States
    • Corresponding Author InformationCorresponding author at: Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Avenue, POB 250550, Charleston, SC 29425, United States. Tel.: +1 843 792 7343; fax: +1 843 792 7388.

Received 29 December 2007; received in revised form 29 April 2008; accepted 2 May 2008. published online 24 June 2008.

Summary 

We present a case of an unusual colonic duplication cyst which was located in the submandibular region of the neck. To our knowledge, this is the first reported case of a submandibular cyst lined with colonic mucosa. This type of cystic mass is felt to be due to either displacement of primitive intestinal epithelium or abnormal differentiation of primitive endodermal cells into colonic mucosa in an abnormal location. Diagnosis was made with a combination of CT scan, ultrasound, and ultimately surgical pathology. Treatment is with surgical excision, and the prognosis is excellent with complete excision.

Keywords: Pediatric neck mass, Gastrointestinal duplication cyst

 

PII: S1871-4048(08)00033-6

doi:10.1016/j.pedex.2008.05.001

International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 1 , Pages 17-20, January 2009