Volume 19, Issue 6 (Iranian South Medical Journal 2017)                   Iran South Med J 2017, 19(6): 1005-1010 | Back to browse issues page


XML Persian Abstract Print


Pediatric department, Hamadan University of Medical Sciences, Hamedan, Iran , eghbalian_fa@yahoo.com
Abstract:   (11697 Views)

Cystic hygroma which originating from buds lymphatic are a combination of multiple cysts, with benign nature. The incidence of this disease is estimated to be 1 in sixty thousands of live births. 75% of cases occur in the neck and 20 percent is seen in axillary area. There are chromosomal abnormalities in 60% of cases. Cystic hygroma usually covers adjacent neurovascular structures Airway obstruction is the most critical complication, infection and bleeding are on the next level. Complete surgical removal is the selective treatment. The case was a 3-day-old male neonate weighing 4 kg admitted in NICU ward of Beasat hospital due to massive bilateral swelling of the neck and severe respiratory distress. The patient was operated on an emergency basis and cyst was removed. After surgery, the infant was mechanically ventilated for 4 days. There was recurrence following complete resection, the remaining part of the Cystic hygroma was excised at the age of 6 weeks.

Full-Text [PDF 257 kb]   (11168 Downloads)    
Subject: Pediatrics
Received: 2016/05/14 | Accepted: 2016/08/2 | Published: 2016/12/27

References
1. Ghritlaharey RK. Management of giant cystic lymphangioma in an infant, J Clin Diagn Res. 2013; 7(8): 1755-6. [PubMed] [Google Scholar]
2. Sarin YK. Cystic hygroma. Indian Pediatr 2000; 37(10): 1139-40. [PubMed]
3. Mirza B, Ijaz L, Saleem M, et al. Cystic Hygroma: An Overview. J Cutan Aesthet Surg 2010; 3(3): 139-44. [PubMed] [Google Scholar]
4. Laforgia N, Schettini F, De Mattia D, et al. Lymphatic malformation in newborns as the first sign of diffuse lymphangiomatosis: successful treatment with sirolimus. Neonatology 2016; 109(1): 52-5. [PubMed] [Google Scholar]
5. Ninh TN, Ninh TX. Cystic hygroma in children a report of 126 cases. J Pediatr Surg 1974; 9(2): 191-5. [PubMed] [Google Scholar]
6. Burns C. Principles and Practices of Pediatric Surgery. Ann Surg 2006; 243(4): 567. [Google Scholar]
7. McCaffreya F, Taddeob J. Surgical management of adult-onset cystic hygroma in the axilla. Int J Surg Case Rep 2015; 7C: 29-31. [PubMed] [Google Scholar]
8. Chen M, Lee CP, Lin SM, et al. Cystic hygroma detected in the first trimester scan in Hong Kong. J Matern Fetal Neonatal Med 2014; 27(4): 342-5. [PubMed] [Google Scholar]
9. Gedikbasi A, Oztarhan K, Aslan G, et al. Multidisciplinary approach in cystic hygroma: prenatal diagnosis, outcome, and postnatal follow up. Pediatr Int 2009; 51(5): 670-7. [PubMed] [Google Scholar]
10. Mirzaei K, Zahmatkesh S, Amini M. Effect of evidence-based Medical Education on knowledge and ability to use and apply it among clinical students of Bushehr University of Medical Sciences: a controlled trial. Iran South Med J 2016; 19(3): 398-410. (Persian) [Google Scholar]

Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.