Giant cystic hygroma in an adult male; A case report
Introduction: Cystic hygroma, a benign congenital malformation of the lymphatic system occurs as a result of sequestration or obstruction of developing lymph vessels. Eighty to 90% of cystic hygromas present before the end of the second year of life and are rare in adults. We present a case of 25 ye...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Otolaryngology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468548822001011 |
| _version_ | 1811315344632971264 |
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| author | Sonika Dhari Shrestha Ganesh Bahadur Chalise Dhiraj Bishankha Tridip Bahadur Pantha Dipendra Gautam |
| author_facet | Sonika Dhari Shrestha Ganesh Bahadur Chalise Dhiraj Bishankha Tridip Bahadur Pantha Dipendra Gautam |
| author_sort | Sonika Dhari Shrestha |
| collection | DOAJ |
| description | Introduction: Cystic hygroma, a benign congenital malformation of the lymphatic system occurs as a result of sequestration or obstruction of developing lymph vessels. Eighty to 90% of cystic hygromas present before the end of the second year of life and are rare in adults. We present a case of 25 years old male with painless neck mass on right side for past 5 years. Case presentation: A twenty-five-years male presented with painless neck swelling ∼13 x 12 × 11 cm3 in right side of neck for past 5 years. The swelling was rapidly growing over past 2 years which resulted difficulty in neck movements. He underwent contrast enhanced computed tomography scans along with angiography and fine needle aspiration cytology. Based on clinical, radiological and cytological finding diagnosis of cystic hygroma was made. Mass was excised via transverse cervical incision with uneventful intraoperative and post-operative period. Diagnosis of cystic hygroma was confirmed by histopathological examination. Conclusion: Cystic hygromas though rare in adult population should be considered in differential diagnosis in adult neck masses. It is essential to evaluate intrathoracic extension of cystic hygroma with the help of different imaging modalities. Surgical excision is the treatment of choice and it may risk vital structures, such as the sympathetic chain, carotid sheath content, and branches of the hypoglossal, lingual and the facial nerves. |
| first_indexed | 2024-04-13T11:28:37Z |
| format | Article |
| id | doaj.art-63c38274cedb40f88dbdd256992e2f08 |
| institution | Directory Open Access Journal |
| issn | 2468-5488 |
| language | English |
| last_indexed | 2024-04-13T11:28:37Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Otolaryngology Case Reports |
| spelling | doaj.art-63c38274cedb40f88dbdd256992e2f082022-12-22T02:48:37ZengElsevierOtolaryngology Case Reports2468-54882022-11-0125100492Giant cystic hygroma in an adult male; A case reportSonika Dhari Shrestha0Ganesh Bahadur Chalise1Dhiraj Bishankha2Tridip Bahadur Pantha3Dipendra Gautam4Corresponding.; Department of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, NepalDepartment of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, NepalDepartment of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, NepalDepartment of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, NepalDepartment of Otorhinolaryngology Head and Neck Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, NepalIntroduction: Cystic hygroma, a benign congenital malformation of the lymphatic system occurs as a result of sequestration or obstruction of developing lymph vessels. Eighty to 90% of cystic hygromas present before the end of the second year of life and are rare in adults. We present a case of 25 years old male with painless neck mass on right side for past 5 years. Case presentation: A twenty-five-years male presented with painless neck swelling ∼13 x 12 × 11 cm3 in right side of neck for past 5 years. The swelling was rapidly growing over past 2 years which resulted difficulty in neck movements. He underwent contrast enhanced computed tomography scans along with angiography and fine needle aspiration cytology. Based on clinical, radiological and cytological finding diagnosis of cystic hygroma was made. Mass was excised via transverse cervical incision with uneventful intraoperative and post-operative period. Diagnosis of cystic hygroma was confirmed by histopathological examination. Conclusion: Cystic hygromas though rare in adult population should be considered in differential diagnosis in adult neck masses. It is essential to evaluate intrathoracic extension of cystic hygroma with the help of different imaging modalities. Surgical excision is the treatment of choice and it may risk vital structures, such as the sympathetic chain, carotid sheath content, and branches of the hypoglossal, lingual and the facial nerves.http://www.sciencedirect.com/science/article/pii/S2468548822001011Cystic hygromaSclerotherapySurgical excision |
| spellingShingle | Sonika Dhari Shrestha Ganesh Bahadur Chalise Dhiraj Bishankha Tridip Bahadur Pantha Dipendra Gautam Giant cystic hygroma in an adult male; A case report Otolaryngology Case Reports Cystic hygroma Sclerotherapy Surgical excision |
| title | Giant cystic hygroma in an adult male; A case report |
| title_full | Giant cystic hygroma in an adult male; A case report |
| title_fullStr | Giant cystic hygroma in an adult male; A case report |
| title_full_unstemmed | Giant cystic hygroma in an adult male; A case report |
| title_short | Giant cystic hygroma in an adult male; A case report |
| title_sort | giant cystic hygroma in an adult male a case report |
| topic | Cystic hygroma Sclerotherapy Surgical excision |
| url | http://www.sciencedirect.com/science/article/pii/S2468548822001011 |
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