Inflammatory pseudotumor (IPT) of the liver and intrahepatic bile ducts is a rare cause of obstructive jaundice and portal hypertension in the pediatric age group. Because it seems to have a better long-term outcome than many of the conditions with which it may be confused, it is important to recognize the radiologic and pathologic features of this rare lesion so that appropriate therapy may be instituted.
A case report of ectopic salivary gland tissue in the lower neck is presented. This rare lesion should be included in the differential diagnosis of draining sinuses in the neck. It arises most probably by heteroplasia within remnants of the second branchial cleft. The clinical picture is one of drainage of clear secretion from a sinus in the lower anterolateral neck usually without a history of pain or infection. It shares several clinical features with the more commonly occurring branchial fistula, but it may be distinguished by its appearance on an x-ray contrast study. A correct preoperative diagnosis makes removal more simple and direct.
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