A neck mass in infancy: Fibromatosis colli 1 MedDocs Publishers Received: Aug 09, 2019 Accepted: Sep 12, 2019 Published Online: Sep 17, 2019 Journal: Journal of Clinical Images Publisher: MedDocs Publishers LLC Online edion: hp://meddocsonline.org/ Copyright: © Remi RT (2019). This Arcle is distributed under the terms of Creave Commons Aribuon 4.0 Internaonal License *Corresponding Author(s): Rafaralahivoavy Tojo Rémi Radiology department, University hospital of And- rainjato, Fianarantsoa Madagascar, Route de Maha- soabe, BP1487 Ambatoharanana Tel: +261-3469-75949; Email: [email protected] Journal of Clinical Images Open Access | Clinical Image Cite this arcle: Remi TR, Prudence R, Ahmad A. A neck mass in infancy: Fibromatosis colli. J Clin Images. 2019; 2(1): 1013 Clinical Image Descripon A 1 month old female infant with right neck mass noced by her parents about 2 weeks earlier. She was a full term baby, born aſter instrumented delivery with a birth weight of 3000 g. Physical examinaon showed focal enlargement of right sterno- cleiodomastoid muscle (Figure 1), firm in consistency and not warm on touch. The mass was parally mobile, and apparently painless. There was no restricon of neck movements. No cervi- cal lymphadenopathy was present. The girl was feeding at the breast, and the body temperature was normal. The roune lab- oratory tests were normal. Ultrasonography revealed a 40 x 15 mm fusiform hypoechoïc thickening of the right sternocleido- mastoid muscle, with maintained structure of muscle fibers (Figures 2). The diagnosis of fibromatosis colli was established. Rafaralahivoavy Tojo Rémi 1 ; Ramamonjinirina Prudence 2 ; Ahmad Ahmad 3 1 Radiology department, University hospital of Andrainjato, Fianarantsoa Madagascar 2 Pediatric department, University hospital of Andrainjato, Fianarantsoa Madagascar 3 Radiology department, University hospital Joseph Ravoahangy Andrianavalona Ampefiloha, Antananarivo Madagascar Fibromatosis colli is a rare pseudotumor, a fibromatosis which involves the Sternocleidomastoid muscle. It usually ap- pears in neonates and infants. The eology of the disease re- main unknown, it most likely occurs aſter any birth trauma or malposioning in the intrauterine life. Ultrasonography is the imaging modality of choice for diagnosis. Its management is conservave based on physiotherapy to avoid complicaon such torcollis. The knowledge of this disease can avoid unnec- essary invesgaons [1].
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A neck mass in infancy: Fibromatosis colli
1
MedDocs Publishers
Received: Aug 09, 2019Accepted: Sep 12, 2019Published Online: Sep 17, 2019Journal: Journal of Clinical ImagesPublisher: MedDocs Publishers LLCOnline edition: http://meddocsonline.org/Copyright: © Remi RT (2019). This Article is distributed under the terms of Creative Commons Attribution 4.0 International License
*Corresponding Author(s): Rafaralahivoavy Tojo RémiRadiology department, University hospital of And-rainjato, Fianarantsoa Madagascar, Route de Maha-soabe, BP1487 AmbatoharananaTel: +261-3469-75949; Email: [email protected]
Journal of Clinical Images
Open Access | Clinical Image
Cite this article: Remi TR, Prudence R, Ahmad A. A neck mass in infancy: Fibromatosis colli. J Clin Images. 2019; 2(1): 1013
Clinical Image
Description
A 1 month old female infant with right neck mass noticed by her parents about 2 weeks earlier. She was a full term baby, born after instrumented delivery with a birth weight of 3000 g. Physical examination showed focal enlargement of right sterno-cleiodomastoid muscle (Figure 1), firm in consistency and not warm on touch. The mass was partially mobile, and apparently painless. There was no restriction of neck movements. No cervi-cal lymphadenopathy was present. The girl was feeding at the breast, and the body temperature was normal. The routine lab-oratory tests were normal. Ultrasonography revealed a 40 x 15 mm fusiform hypoechoïc thickening of the right sternocleido-mastoid muscle, with maintained structure of muscle fibers (Figures 2). The diagnosis of fibromatosis colli was established.
Rafaralahivoavy Tojo Rémi1; Ramamonjinirina Prudence2; Ahmad Ahmad3
1Radiology department, University hospital of Andrainjato, Fianarantsoa Madagascar2Pediatric department, University hospital of Andrainjato, Fianarantsoa Madagascar3Radiology department, University hospital Joseph Ravoahangy Andrianavalona Ampefiloha, Antananarivo Madagascar
Fibromatosis colli is a rare pseudotumor, a fibromatosis which involves the Sternocleidomastoid muscle. It usually ap-pears in neonates and infants. The etiology of the disease re-main unknown, it most likely occurs after any birth trauma
or malpositioning in the intrauterine life. Ultrasonography is the imaging modality of choice for diagnosis. Its management is conservative based on physiotherapy to avoid complication such torticollis. The knowledge of this disease can avoid unnec-essary investigations [1].
2
MedDocs Publishers
Journal of Clinical Images
Figure 1: Right neck mass (arrow)
Figure 2: Ultrasonography, axial views of neck : gray scale (a) and with color doppler (b) showing a thickened and fusiform ster-nocleidomastoid consistent with fibromatosis colli
References
1. Tahseen S, Nasir S, Amin F. Fibromatosis colli-pseudo-tumor of infancy of sternocleidomastoid, A case report. Asian Pac. J. Health Sci 2017; 4: 1-3.
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