A Tale of Two Neck Cysts

We present a case of 2 neck cysts in the same patient which were clinically diagnosed as plunging ranula and an uncomplicated thyroglossal cyst. This was supported by radiological imaging as well. But it is sought to share that sometimes clinical evaluation and imaging may not be as reliable, as intraoperatively we found it to be a right submandibular epidermoid cyst coexisting with an infected thyroglossal cyst. This was confirmed subsequently on histopathology. Thus we must always consider differentials before embarking on any surgery despite all preoperative investigations, lest we be found at a loss intraoperatively.