Background: Lymphangiomas are benign malformations of lymphatic system uncommon in adults. We present a rare case of adult cystic lymphangioma in the neck region.Case presentation: A 26 year old female presented with a large swelling on the right side of the neck. The patient was uncomfortable due to the cosmetic impact of the swelling. Clinical diagnosis of cystic lymphangioma was made based on history and physical examination. An impression of lymphangioma was given on FNAC and radiological examination. The cyst is surgically removed by raising a skin flap and the cyst wall specimen was sent for histopathological examination for confirmation. The histopathological sections confirmed the diagnosis. The postoperative period is uneventful. There was no recurrence till the current follow up.Conclusions: In a case of painless and progressive neck swelling, lymphangioma should be considered as a differential diagnosis despite the fact that they occur rarely in adults and appropriate treatment should be initiated to prevent pressure symptoms due to the progressive nature.

Background: Lymphangiomas are benign malformations of lymphatic system uncommon in adults. We present a case of adult cystic lymphangioma in the neck region. Case presentation: A 26 year old female presented with a large swelling on the right side of the neck. The patient was uncomfortable cosmetically. Clinical diagnosis of cystic lymphangioma was made based on history and physical examination. An impression of lymphangioma was given on FNAC and radiological examination. The cyst is surgically removed by raising a skin flap and the cyst wall specimen was sent for histopathological examination for confirmation. The histopathological sections confirmed the diagnosis. The postoperative period is uneventful. There was no recurrence till the current follow up. Conclusion: In a case of painless and progressive neck swelling, lymphangioma should be considered as a differential diagnosis despite the fact that they occur rarely in adults and appropriate treatment should be started as soon as possible to prevent pressure symptoms due to the progressive growth.

Intraoperative airway obstruction is a nightmare for anesthesiologists, especially in head and neck surgeries. Due to the proximity of airway and surgical area, it will be difficult for anesthesiologists for the airway access. There are many causes of intraoperative airway obstruction. To the best of our literature search, there is no case report of airway obstruction due to betadine solution. Here we present a case of airway obstruction due to endotracheal tube blockade by the use of betadine solution in the surgery of cervical region in a child posted for posterior C1-C2 fusion in prone position on skull pins.