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Musculoskeletal » Superficial
Abscess in the anterior triangle of the neck
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Author(s) :
Shlomo Gobi
 
Presentation A 3-year-old girl presents with a painful lump in the left upper neck, fever and elevated WBC counts. An ultrasound of the neck was performed.
 
 
 
Caption: Scan of the palpable painful lump
Description: A thick-walled mass with irregular borders is seen in the anterior triangle of the neck, displacing the sternocleidomastoid muscle anteriorly. The mass encloses a central anechoic area with debris and septa floating within.
 
 
 
Caption: Transverse scan at the site of concern
Description: The thick-walled fluid containing mass is noted again. The internal characteristics of the mass are well-appreciated in this image. Multiple enlarged lymph nodes [not depicted here] were also noted.
 
 
 
Caption: Color Doppler scan of the mass
Description: The peripheral margins of the mass shows increased vascularity. As expected, the central fluid containing area is devoid of color.
 
Differential Diagnosis Abscess, hematoma
 
Final Diagnosis

Abscess in the anterior triangle of the neck

 
Follow Up The abscess was drained surgically. It was located in a lymph node.
 
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