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Case Studies | Surgery | India | Volume 14 Issue 3, March 2025 | Rating: 5.5 / 10
When a Child's Disease Strikes an Adult: A Diagnostic Conundrum of Cervical Lymphangioma
Dr. Juan Jacob, Dr. Abhijit S. Gogate, Dr. Vinod Karagi, Dr. Prashant Hombal
Abstract: Introduction: Lymphangiomas are benign lymphatic malformations that predominantly affect children. However, rare cases can present in adults. Approximately 90% of lymphangiomas occur in pediatric patients less than 2 years of age. Adult lymphangiomas remain a rare clinical entity With less than 150 cases documented in literature. Case report: A 18 year old male presented with right sided neck swelling for 3 years. Clinical examination revealed a solitary cystic oval swelling present near the right lateral aspect of neck medial to the sternocleidomastoid muscle which was brilliantly trans - illuminant. Contrast - enhanced computed tomography scan of neck showed features suggestive of Lymphangioma of size 8.9 x 4.5 x 4.1 cm located in the Right Infra hyoid part of neck in the inter muscular plane. Intra - operatively a cystic swelling arising from level 3 cervical lymphatics was noted compressing Right internal jugular vein. Complete excision of the cystic lesion, including the cyst wall, was achieved. The postoperative course was uneventful and the patient was discharged on Post operative day 5. Histopathology confirmed the diagnosis of lymphangioma and the patient remains healthy at 1 year of follow - up. Conclusion: This case report highlights the importance of considering Lymphangioma in the differential diagnosis of neck masses, even in adult patients. Early diagnosis and appropriate surgical intervention can lead to successful outcomes and prevent complications.
Keywords: lymphangioma, neck swelling, adult presentation, surgical intervention, differential diagnosis, Sclerotherapy, Cystic Lymphangioma, Lymphatic Malformation, Cervical, Macrocystic, Cavernous, OK - 432 (Picibanil), Bleomycin, CaseReport, Lymphatics, Sclerotherapy, Surgical Excision, Microcystic, Adolescent, Right Infrahyoid Neck, Intraoperative Findings, Complete Excision, Benign, Lymphatic Channels
Edition: Volume 14 Issue 3, March 2025,
Pages: 1622 - 1625