Thymic cyst: A fourth branchial cleft anomaly

Abstract

We report a unique case of a fourth branchial cleft cyst found within the thymus of an adult patient. In the literature to date, there have been no reports of such a finding in the adult population. These anomalies can often cause recurrent acute suppurative thyroiditis or recurrent deep neck abscesses. Delay in recognizing the underlying etiology can lead to significant complications. © 2009 The American Laryngological, Rhinological and Otological Society, Inc.