Marsupialization and iodine sclerotherapy of a branchial cyst in a horse

Marsupialization and sclerotherapy with povidone iodine and ethanol of a branchial remnant cyst in an Arabian filly

Branchial remnant cysts are an uncommon cause of masses of the throatlatch area in horses. Two methods of treatment have been proposed in literature, both with complications. This manuscript proposes a method (marsupialization and sclerotherapy) for the treatment of a cyst in a 1.5-year-old Arabian filly. Diagnosis was made by ultrasonographic, radiographic and endoscopic examinations, revealing an anechoic fluid-filled structure and a well-defined capsule not in communication with other structures. After emptying the cyst, the skin was sutured circumferentially to the cyst wall; it was then flushed first with a solution of ethanol and povidone-iodine, then with sterile saline. Eight months after surgery, the filly had no recurrence of the cyst and the stoma was healed.

Branchial Cyst With Carcinoma in an Umbrella Cockatoo (Cacatua alba)

A 16-year-old female umbrella cockatoo (Cacatua alba) was presented for a fluctuant, right-sided cervical mass that extended from the caudolateral edge of the right mandible to the coelomic inlet. Results of initial diagnostic tests were consistent with a cystic mass containing hemorrhage. Surgical exploration and removal of the mass was done, but because the hyoid apparatus was incorporated in the base of the cyst, complete surgical excision was not possible. Histopathologic results were consistent with a branchial cyst with carcinoma. Five months after surgery, the cockatoo exhibited intermittent periorbital swelling and epistaxis, and cytologic results of a fluid aspirate from the right infraorbital sinus were consistent with carcinoma. Results of magnetic resonance imaging revealed extensive abnormal T2 and short-tau inversion-recovery hyperintense tissue associated with the right side of the head and neck, infiltrating between muscle planes and extending into the right retro-orbital tissue and nasal cavity. At 7 months after surgery, the bird was severely dyspneic and was euthanatized. To our knowledge, this is the first report describing the diagnosis, management, and histologic characteristics associated with a branchial cyst with carcinoma in an animal.

Imaging diagnosis--nasal septal and laryngeal cyst-like malformationsin a Thoroughbred weanling colt diagnosed using ultrasonography and magnetic resonance imaging

A foal was examined for abnormal upper airway noise. Endoscopically, there were narrowed nasal passages and an extralumenal mass of the cranial trachea. Using ultrasonography and magnetic resonance (MR) imaging of the larynx and cranial cervical trachea, irregular margins of the laryngeal cartilages and first tracheal ring containing areas consistent with fluid were identified. In MR images, a widened nasal septum was seen that contained material consistent with fluid. Postmortem examination confirmed the diagnosis of nasal septal, laryngeal, and cranial cervical tracheal cyst-like lesions. This is a unique congenital condition, in which premortem imaging was instrumental in defining the abnormalities.

Branchial remnant cysts of mature and juvenile horses

This clinical report describes 8 cases of branchial remnant cysts (BRC) in the horse. The horses presented with bimodal age distribution, with 5 cases in mature horses (age 8-21 years) and 3 in foals (age 1, 6 and 10 months). Mature cases presented for dysphagia or intermittent oesophageal obstruction (2/5), and retropharyngeal swelling (3/5), whereas respiratory stridor and visible mass were presenting complaints in the foals. Presence of a right-sided (5/8) or dorsally located (2/8) palpable retropharyngeal mass of 3-35 cm diameter was noted clinically; one left-sided mass was identified as an incidental finding at necropsy. Ultrasonography typically revealed a thick-walled cyst containing hypoechoic fluid with dependent hyperechoic masses consistent with blood clots. Radiographs and upper airway endoscopy were also consistent with a retropharyngeal mass. Fluid cytology revealed chronic haemorrhage in 6/8 cases, and squamous epithelial cells in one case. Histopathology in all cases demonstrated an epithelium-lined cyst with no smooth muscle or thyroid tissue. Two cases was subjected to euthanasia; one due to concurrent laryngeal anomalies and one due to financial constraints. The remaining 5 cases were treated via surgical excision. Post operatively, right laryngeal hemiplegia was observed in 4/5 cases. All previous reports of BRC in the horse have described juvenile individuals. Brachial remnant cyst should be considered a differential diagnosis for mature horses with masses of the throatlatch area and can be definitively diagnosed by the presence of squamous epithelium in aspirated fluid or by histopathology of the excised mass. Right recurrent laryngeal nerve damage is a common complication of surgery.