Congenital dermoid fistulas of the anterior chest region (CDFACR): usefulness of sonography for complete resection

Takahiro Hosokawa, MD; Yoshitake Yamada, MD; Hiroaki Takahashi, MD; Yumiko Sato, MD; Yutaka Tanami, MD; Keisuke Suzuki, MD; Hiroshi Kawashima, MD; Eiji Oguma, MD

doi:10.1016/j.radcr.2017.06.003

Radiology Case Reports (Sep 2017)

Congenital dermoid fistulas of the anterior chest region (CDFACR): usefulness of sonography for complete resection

Takahiro Hosokawa, MD,
Yoshitake Yamada, MD,
Hiroaki Takahashi, MD,
Yumiko Sato, MD,
Yutaka Tanami, MD,
Keisuke Suzuki, MD,
Hiroshi Kawashima, MD,
Eiji Oguma, MD

Affiliations

Takahiro Hosokawa, MD: Department of Radiology, Saitama Children's Medical Center, 2100 Magome, Iwatsuki, Saitama 339-8551, Japan
Yoshitake Yamada, MD: Department of Diagnostic Radiology, Keio University School of Medicine, Shinjuku, Tokyo, Japan
Hiroaki Takahashi, MD: Department of Radiology, Saitama Children's Medical Center, 2100 Magome, Iwatsuki, Saitama 339-8551, Japan
Yumiko Sato, MD: Department of Radiology, Saitama Children's Medical Center, 2100 Magome, Iwatsuki, Saitama 339-8551, Japan
Yutaka Tanami, MD: Department of Radiology, Saitama Children's Medical Center, 2100 Magome, Iwatsuki, Saitama 339-8551, Japan
Keisuke Suzuki, MD: Department of Surgery, Saitama Children's Medical Center, Iwatsuki, Saitama, Japan
Hiroshi Kawashima, MD: Department of Surgery, Saitama Children's Medical Center, Iwatsuki, Saitama, Japan
Eiji Oguma, MD: Department of Radiology, Saitama Children's Medical Center, 2100 Magome, Iwatsuki, Saitama 339-8551, Japan

DOI: https://doi.org/10.1016/j.radcr.2017.06.003
Journal volume & issue: Vol. 12, no. 3
pp. 628 – 631

Abstract

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Congenital dermoid fistulas of the anterior chest regions (CDFACRs) consist of a skin orifice at the anterior border of the sternocleidomastoid muscle with fistulas extending caudally in the subcutaneous tissue near the sternoclavicular joint. We report 2 pediatric CDFACR cases with pathognomonic sonography findings. By using sonography, we could diagnose the fistulas as CDFACRs by focusing on their location and direction and could reveal the distal side for complete resection. We suggest that sonography, which does not involve radiation or require sedation, is a better choice for the initial examination of CDFACRs than computed tomography or MRI.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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