APSP J Case Rep: Vol. 5 Issue 2: p. 25
Copyright © 2014 Mustafa et al
Received Day: 02 Month: 04 Year: 2014
Accepted Day: 10 Month: 05 Year: 2014
APSP J Case Rep 2014; 5:25
Regression of Cervical Cystic Hygroma with a Single Session of Sclerotherapy
Ghulam Mustafa Affiliation: Department of Pediatric Surgery The Children’s Hospital and the Institute of Child Health, Lahore
Muhammad Saleem Affiliation: Department of Pediatric Surgery The Children’s Hospital and the Institute of Child Health, Lahore
Correspondence: Address for Correspondence:Ghulam Mustafa, Department of Pediatric Surgery, The Children’s Hospital and the Institute of Child Health, Lahore, [email protected]

A 1-month-old child presented with cystic hygroma measuring 14 cm x10 cm on the left side of neck. Injection bleomycin was injected into the swelling after aspirating it completely with a wide bore needle. The aspirate was straw colored. The patient was discharged on the next day. At one month follow-up, it was completely regressed with only minor skin pigmentations and redundant skin (Fig 1, 2).

DISCUSSION

Macrocystic lymphangioma which was previously known as cystic hygroma is a congenital malformation of the lymphatic system. Complete surgical excision is preferred but as there is risk of damage to vital structures it is largely superseded by intralesional sclerotherapy.[1-2] Complete resolution of cystic hygroma with injection bleomycin can be achieved in about 60% of cases and requires multiple sclerotherapy sessions. Very rarely, the complete resolution is achieved in a single session as happened in our case.

Footnotes

Source of Support: Nil

Conflict of Interest: None declared

Figures

Figure 1: Cystic hygroma

Figure 2: After 1 month of single session sclerotherapy.
References
1. Ibrahim AH, Kandeel A, Bazeed MF. Successful non-surgical management of a huge life threatening cervicomediastinal cystic hygroma case report and review of the literature. J Pediatr Surg Specialt 2009;3:48-50.
2. Mirza B, Ijaz L, Iqbal S, Mustafa G, Saleem M, Sheikh A. Cystic hygroma of unusual sites: Report of two cases. Afr J Paediatr Surg. 2011;8:85-8.

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2014 APSP Journal of Case Reports

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

ISSN: 2218-8185

We are now in process to use new version of Open Journal System. Submission are now open on our new website. Please CLICK HERE to divert to our new manuscript management system. You are required to register an author account before making any submission.