Fourth branchial pouch sinus: A case report

The fourth branchial pouch sinus is a very rare developmental anomaly; it u sually presents as a recurring abscess in the left side of the neck. A high index of suspicion, combined with Barium swallow and computed tomography s can, aids in diagnosis. A case of branchial pouch anomaly is reported here for its rarity and late presentation. Complete excision of the entire epith elial tract combined with ipsilateral thyroid lobectomy remains the mainsta y of management. Copyright (C) 2001 by W.B. Saunders Company.