engleski

Cervical cystic lymphangioma in a pediatric patient: a case report

Cystic lymphangiomas are benign congenital malformations of the lymphatic system characterized by multilocular cystic cavities filled with fluid. Most commonly they are found among the pediatric population. They have a strong predilection for the cervicofacial region. CASE PRESENTATION: We report a case of a 14-month- old female patient who presented with left-sided swelling of the neck which was present at birth. The swelling had progressively increased in size after an episode of upper respiratory tract infection. After admission to the hospital, routine tests were made. Her complete blood count and other biochemical parameters were within normal limits. Fine needle aspiration cytology was performed unsuccessfully. On the first night of hospitalization, the patient developed respiratory failure so Computed Tomography was delayed. Conventional X-ray images showed a deviation of the trachea and larynx to the right and a large shadow covering the left side of the neck. Ultrasound revealed 7 – 8 hypoechoic and hyperechoic round and elliptic areas and the largest one was located in the submental region. Complete surgical excision of the lesion was done. Postoperatively patient recovered well, without any complications. Histopathological examination of tissue confirmed the diagnosis of cystic lymphangioma. The patient has been followed up for 8 months with no evidence of disease recurrence. CONCLUSION: Lymphangiomas are most often asymptomatic and require no treatment, but sometimes they can cause potentially fatal complications. Complete surgical excision is recommended for lesions that persist, enlarge, or produce obstructive symptoms

cervical cystic lymphangioma, respiratory failure, surgical excision

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