Cystic Hygroma with Thoracic Extension: A Case Report

Shantonu Kumar Ghosh, Mosharraf Hossain, Md. Delwar Hossain,Shahriar Moinuddin, Md. Shamsul Alam, Md. Aftabuddin,Asit Baran Adhikary

Abstract:
Introduction: Cystic hygroma is a rare congenital malformation of the lymphatic
system. It is most frequently detected in the head and neck region. Other rare
sites include axilla, mediastinum, groin and retroperitoneum. It is usually evident
at birth. Sometimes diagnosis is possible during prenatal period. The medical
treatment of CH consists of the administration of sclerosing agents. Definitive
treatment includes complete surgical excision.
Material and Methods:In this paper, a case is reported of cervical cystic hygroma
with mediastinal extension in a female child which was evident at 5th day after
her birth. She was taken to various hospitals but treatment delayed due to
diagnostic dilemma. At last definitive treatment was done at age of 3 years and 8
months.
Results: Complete excision of both the neck mass and it’s thoracic extension were
done. She attended hospital after 1 month of surgery for follow up presenting
herself free of symptoms.
Discussion: Any children presenting with a mass in the neck since birth, the first
diagnosis should be considered as cystic hygroma.Though it is sometimes
medically treated with sclerosing agents, surgery is the definitive treatment.
Prognosis of cystic hygroma is excellent if complete surgical removal is possible.
Key Words: Cystic Hygroma (CH), Cystic Lymphangioma, Mediastinum.

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