Congenital dermoid sinus of the anterior chest region

Suprasternal dermoid sinus: A case report

INTRODUCTION

Congenital anomalies in the neck region, such as dermoid sinuses, pose diagnostic challenges in pediatrics. Surgical excisions are vital to prevent complications.

PRESENTATION OF CASE

A 7-month-old male infant had presented with a congenital suprasternal dermoid sinus, which had been evident since birth. Imaging confirmed the diagnosis, prompting surgical intervention under general anesthesia. A delicate excision was performed, guided by a methylene blue dye injection, followed by histopathological confirmation.

DISCUSSION

Dermoid sinuses typically manifest as cutaneous pits or sinus tracts, with a left-sided predominance and a female predilection. An accurate diagnosis relies on clinical examination and imaging studies to delineate the anomaly. Surgical excision remains crucial to prevent recurrence and complications.

CONCLUSION

This case reaffirms the necessity of prompt and accurate diagnosis followed by surgical intervention for managing congenital dermoid sinuses. Ongoing research and collaborative studies are needed to further refine management strategies and improve outcomes for patients with these anomalies, particularly when presenting in atypical locations.

Congenital dermoid sinus of anterior chest: Case report and review of literature

INTRODUCTION

Congenital dermoid sinus which is a rare congenital anomaly of the anterior chest wall (CDACR) is frequently misdiagnosed or mistreated. This report aims to raise awareness about this condition and share experience based on a demarcation technique for anomalous tissue.

PRESENTATION OF CASE

A case of surgically treated CDACR in our clinic and subsequently confirmed through histopathology was chosen. Health records such as, demographics, visits, imaging modalities, management, outcome, and histopathology were reviewed of the patient.

DISCUSSION

Our patient aged 4 years underwent ultrasonography, which revealed a dermoid sinus on her right anterior chest. This diagnosis was later confirmed via histopathology after the excision of the sinus, which was facilitated by a mix of methylene blue and fibrin glue. The incision healed well without any complications.

CONCLUSION

Thus, it was found that CDACRs are those rare congenital anomalies requiring immediate excision to prevent recurrent infections or complications. Knowing how to identify and deal with them is essential.