A rare case report of dual swellings in the head and neck region in a male diagnosed as a right infra-auricular keratin cyst with right supraclavicular lipoma

Abstract

Benign neck swellings are commonly seen in adults as congenital swelling or acquired. But this case report documents the first case of two benign swellings on the same side of the neck in a male especially supraclavicular lipoma with no symptoms other than swelling. A 42-year-old male patient presented to our ENT out-patient department with one painless swelling below the right ear and another on the right side of the neck since the age of 23 years with no other specific complaints. The patient was planned for the fine needle aspiration and imaging studies which showed branchial cyst and lipoma respectively. Post-operative specimen showed a keratin cyst of the right infra-auricular area swelling and lipoma of the right Supraclavicular area swelling and the patient was followed up for 2 years with no recurrence. Our case of dual swellings with different etiopathogenesis on the same side in the head and neck region is being reported for the first time in the literature. This case report aids surgeons to plan for the complete excision with minimal complications as the swelling is close to the great vessels.