BMJ Case Reports 2018; doi:10.1136/bcr-2017-223691
  • Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

Spontaneous closure of branchial sinus of the pyriform fossa

  1. Keith Trimble1
  1. 1 Royal Belfast Hospital for Sick Children, Belfast, UK
  2. 2 NHS Greater Glasgow and Clyde, Glasgow, Glasgow, UK
  1. Correspondence to Dr Zhaobo Liu, paulliuzb{at}
  • Accepted 3 April 2018
  • Published 14 May 2018


Management of third and fourth branchial cleft anomalies are similar. These anomalies should be suspected in a child with recurrent low-anterior neck abscess. Investigations in the form of cross-sectional studies and examination of the pharynx under anaesthesia will facilitate diagnosis and resolution of abscess. Spontaneous closure of the pyriform sinus can occur following conservative management with antibiotic treatment and abscess drainage. This emphasise the role of second-look prior to implementing endoscopic cauterisation or surgery.


  • Contributors ZL: Manuscript preparation and editing. MAMS: Manuscript preparation and editing. CJ: Manuscript editing and operating surgeon. KT: Manuscript editing, operating surgeon and supervisor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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