{Reference Type}: Case Reports
{Title}: Unusual cystic hygromas: Case report.
{Author}: Barma A;Kunwar S;Yadav NK;Karn M;
{Journal}: Int J Surg Case Rep
{Volume}: 116
{Issue}: 0
{Year}: 2024 Mar 8
暂无{DOI}: 10.1016/j.ijscr.2024.109368
{Abstract}: <B>UNASSIGNED: </B>Cystic hygromas are congenital lymphangiomas that arise from a developmental anomaly in the lymphatic system. Typically detected in early childhood, their incidence in adolescents and at the chest wall or axillary area is rare.<BR><B>METHODS: </B>We report two cases, a 14-year-old male child (Case I) and a 1-year-old male infant (Case II), who presented with swelling in unusual locations, the right axillary region and the right anterolateral chest wall respectively. Local examination findings were indicative of a cystic hygroma in the first case, while in the second case, characteristic transillumination was not seen due to a complication: hemorrhage within the cyst. The diagnoses were established after a correlation of the patient's history, and clinical findings with radiological investigations. Both underwent surgical intervention and had no complications. Histopathology of the post-operative specimens confirmed the diagnoses.<BR><B>CONCLUSIONS: </B>The diagnosis of cystic hygroma is made in the totality of thorough history taking, clinical examination, and radiological and histopathological investigations. Though most cases typically manifest before the age of two years and in the cervicofacial area, unusual locations and delayed presentation can occur. Surgical excision is a safe and effective treatment modality for these lesions.<BR><B>CONCLUSIONS: </B>Although a rare entity, cystic hygroma should be considered a possible differential diagnosis of any swelling in the pediatric population.