Airway obstruction caused by rapid enlargement of cervical lymphangioma in a five‐month‐old boy

Shimizu, Junji; Taga, Takashi; Kishimoto, Tomoko; Ohta, Motoki; Tagawa, Kouji; Kunitsu, Tomoaki; Yamane, Tetsunobu; Tsujita, Yasuyuki; Kubota, Yoshihiro; Eguchi, Yawara

doi:10.1002/ccr3.659

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…In these cases, drainage, appropriate antibiotics and steroids therapy, and airway care (if needed, tracheostomy) was recommended. Complete surgical resection (choice treatment) can be postponed until the patient becomes stable [7].…”

Section: Discussionmentioning

confidence: 99%

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Retropharyngeal Lymphangioma: A Case Report

Heidari¹,

Heidari²,

Yadegar³

et al. 2019

J Med Imaging Case Rep

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Lymphangioma is presented as a painless mass with a soft consistency in the head and neck. The involvement of retropharyngeal space in lymphangioma is rare. Here, we presented the case of retropharyngeal lymphangioma and discussed its manifestations, imaging, and treatment. An 11-year-old female was presented with shortness of breath, stridor, fever, dysphagia and drooling. Clinical examinations revealed a retropharyngeal swelling and a hot-potato speech. MRI revealed the multicystic lesions extending from the base of the skull to the level of T4 in retropharyngeal space. The mass resection was done under general anesthesia and 5 ml dehydrated alcohol was injected as sclerotherapy. The pathological analysis yielded cystic hygroma. The six months post-surgery follow up showed no recurrence, and the patient remained symptoms free. Retropharyngeal lymphangioma should be considered as a differential diagnosis of retropharyngeal abscess. Their treatment in primary and acute conditions is the same, including drainage, intravenous antibiotics therapy, and airway care. However, diagnosis of retropharyngeal lymphangioma is important because it needs farther evaluation and treatment. Few cases of retropharyngeal lymphangioma were reported, and this was a challenging case with a wide area of involvement.

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Section: Discussionmentioning

confidence: 99%

“…The involvement of retropharyngeal space is rare, and only few cases were reported [4][5][6]. Airway obstruction, dyspnea, and stridor in patients with lymphangioma is caused by external compression or intrinsic involvement of upper airways, which could lead to emergency tracheostomy [7].…”

Section: Introductionmentioning

confidence: 99%

Retropharyngeal Lymphangioma: A Case Report

Heidari¹,

Heidari²,

Yadegar³

et al. 2019

J Med Imaging Case Rep

View full text Add to dashboard Cite

show abstract

“…But, the case reported by Desir [ 8 ] manifested fever, chest pain and dyspnea for a month. OK-432 is also effective, but Shimizu [ 9 ] emphasized that with the injection of OK-432, temporary swelling and pyrexia may occur. They also pointed out that sclerotherapy may take a long time to produce the desired result and induce inflammation that may cause airway obstruction due to the transient enlargement of the lymphatic cavity.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous therapy of a mediastinal lymphangioma with fibrin glue: case report with clinical success after 4 years

Zhou

Dong

2018

BMC Surg

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BackgroundLymphangioma of the mediastinum is a rare benign tumor, and most of the cases are treated by a surgical approach.Case presentationThis work reports the case of a 62-year-old female with a large lymphangioma extending from her neck to her abdomen with dysphagia, dyspnea, and cough for 2 months. Because of the location of the mass, only bilateral excision could remove the multiloculated cyst completely. However, the patient’s overall physical condition was very poor, and we thought she could not tolerate the bilateral surgery. Therefore, the patient was treated by percutaneous aspiration drainage followed by fibrin glue injection. Our method has never been reported in the treatment of such a large intrathoracic lesion thus far.ConclusionsPercutaneous puncture and aspiration drainage followed by fibrin glue injection may be a feasible treatment option for the therapy of intrathoracic lymphangioma, with less damage than with other therapies.

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“…The malformations may also threaten the function of adjacent or affected tissues, organs, and as a result, appropriate treatment may be avoided [ 10 , 11 ]. Cervical lymphatic malformations can predispose an individual to complications such as haemorrhage or infection, which further affect respiratory function and endanger life [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic diagnosis, classification, and treatment of cervical lymphatic malformation in paediatric patients: a retrospective study

Zhong

Geng

et al. 2020

BMC Pediatr

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Background To explore the imaging features, key diagnostic points, classification, treatment, and prognosis of cervical lymphatic malformation. Methods Overall, 320 patients diagnosed with cervical lymphatic malformation were retrospectively analysed in our hospital between 1 January 2014 and 31 December 2017. Imaging modalities included colour Doppler ultrasound, magnetic resonance imaging, and contrast-enhanced computed tomography. Cervical lymphatic malformations were classified by cyst diameter. Treatments included interventional therapy, surgery, and expectant treatment. Results Cervical lymphatic malformation was identified in 320 of 1192 patients with lymphatic malformation. Four were excluded due to misdiagnosis by ultrasonography. Cervical lymphatic malformation was classified as mixed, macrocystic, and microcystic in 184 (57.5%), 117 (36.56%), and 19 (5.94%) patients, respectively. Sixty-four (20%), ten (3.12%), seven (2.19%), and three (0.94%) patients experienced intracystic haemorrhage, infection, concurrent intracystic haemorrhage and infection, and calcification, respectively. Among 260 (81.25%) patients who underwent interventional sclerotherapy, 163 (50.94%) received it once and 96 (30%) received it two or more times. Twenty-eight (8.75%), five (1.56%), and 27 (8.44%) patients underwent surgical resection, interventional sclerotherapy plus surgery, and expectant management, respectively. Conclusions Ultrasonography is useful for diagnosing definite cervical lymphatic malformation. Interventional therapy is the first choice for children with confirmed cervical lymphatic malformation.

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Airway obstruction caused by rapid enlargement of cervical lymphangioma in a five‐month‐old boy

Cited by 9 publications

References 10 publications

Retropharyngeal Lymphangioma: A Case Report

Retropharyngeal Lymphangioma: A Case Report

Percutaneous therapy of a mediastinal lymphangioma with fibrin glue: case report with clinical success after 4 years

Ultrasonographic diagnosis, classification, and treatment of cervical lymphatic malformation in paediatric patients: a retrospective study

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