Thyroglossal duct fistula

Case contributed by Vinay V Belaval , 21 Sep 2019
Diagnosis certain
Changed by Henry Knipe, 25 Sep 2019

Updates to Case Attributes

Age changed from 26 years to 25 years.
Body was changed:

Thyroglossal duct fistulafistulae have a typical course, extending uptoup to the foramen caecum of the tongue. It can be associated with a thyroglossal cyst.

MRI can be helpful in the presence of active discharge from the external opening. CT fistulogram will help define the entire length of the tract. In some cases, both CT and MRI are complementary to each other.

  • -<p>Thyroglossal duct fistula have typical course, extending upto foramen caecum of tongue. It can be associated with thyroglossal cyst.</p><p>MRI can be helpful in the presence of active discharge from the external opening. CT fistulogram will help define the entire length of the tract. In some cases, both CT and MRI are complementary to each other.</p>
  • +<p>Thyroglossal duct fistulae have a typical course, extending up to the foramen caecum of the tongue. It can be associated with a thyroglossal cyst.</p><p>MRI can be helpful in the presence of active discharge from the external opening. CT fistulogram will help define the entire length of the tract. In some cases, both CT and MRI are complementary to each other.</p>

Updates to Study Attributes

Findings was changed:

The midline cutaneous opening in the infrahyoid neck was cannulated and 1cc1 cc of water soluble-soluble contrast was injected. 

The fistulous tract extended superiorly from midline infrahyoid region, coursing along the anterior surface of hyoid bone and is seen extending uptoup to the foramen caecum of the tongue.  The The tract measures 4.0 cmscm in length and 1.9mm.9 mm in diameter.  There There is mild dilatation of the tract at the level of cutaneous opening measuring 5.0 x 2.8mm.8 mm. These features are consistent with thyroglossal duct fistula.

There is a blind ending-ending secondary oblique ramification of the tract in the tongue towards the left side.  The secondary tract measures 1.3 cmscm in length and 2.0mm.0 mm in diameter.

No midline cystic lesion is seen in the neck.  No significant lymphadenopathy.

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