Isolated mediastinal cystic lymphangioma- A rare case report
Journal Title: The Journal of Medical Research - Year 2017, Vol 3, Issue 2
Abstract
Cystic lymphangioma (cystic hygroma) is a congenital malformation of the lymphatics resulting in blockage of lymphatics. Cystic hygroma are mainly found in cervical region (75%) and axillary region (20%) though they are also found in some other locations. An isolated mediastinal lymphangioma without a cervical component is an uncommon occurrence which account for less than 1%. We report a 7 year old girl who presented with sudden onset severe breathlessness. Contrast enhanced computed tomography (CECT) thorax done on emergency basis revealed large mass of mixed heterogeneity with areas of necrosis occupying entire left hemithorax with complete collapse of left lung, provisional diagnosis being a mediastinal tumour. The patient underwent emergency surgical resection with piece meal total excision of the tumour other than a small strip densely adhered to the subclavian vein. She started having increase in size of tumour within a month hence was electively taken up for re exploration and complete resection of tumour was performed. Biopsy showed cystic lymphangioma with xanthogranulomatous inflammatory lesion. Patient stable at 3 months follow up.
Authors and Affiliations
Sumanta Das, Prriya Eshpuniyani, Bhushan Thombare
Keywords
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- EP ID EP442565
- DOI 10.31254/jmr.2017.3202
- Views 148
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