Huge Post-Traumatic Cystic Hygroma, Combination of Surgical and Non-Surgical Treatment Methods: A Case Report
Abstract
Background: Cystic hygroma (cystic lymphangioma) is a malformation of the lymphatic system. It is rare in adults and trauma may be the cause in some cases. Surgical and non-surgical treatment methods have been described in the management of cystic hygroma.
Case Report: A 38-year-old woman, known case of systemic lupus erythematosus (SLE), presented a huge cystic formation in the posterior aspect of her thigh following trauma. We treated the patient using a combination of three treatment methods including surgical excision, intra-cavity bleomycin injection, and post-operative use of compression pants.
Conclusion: Huge post-traumatic cystic hygroma in adults is rare. By the combination of the above three therapeutic regimens, there was no cystic lesion recurrence after eight months.
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12. Niramis R, Watanatittan S, Rattanasuwan T. Treatment of cystic hygroma by intralesional bleomycin injection: Experience in 70 patients. Eur J Pediatr Surg. 2010;20(3):178-82. doi: 10.1055/s-0030-1247548. [PubMed: 20178075].
13. Hancock BJ, St-Vil D, Luks FI, Di LM, Blanchard H. Complications of lymphangiomas in children. J Pediatr Surg. 1992;27(2):220-4. doi: 10.1016/0022-3468(92)90316-y. [PubMed: 1564622].
14. Suk S, Sheridan M, Saenger JS. Adult lymphangioma: A case
report. Ear Nose Throat J. 1997;76(12):881-3. [PubMed: 9431778].
15. Wiggs WJ Jr, Sismanis A. Cystic hygroma in the adult: Two case reports. Otolaryngol Head Neck Surg. 1994;110(2):239-41. doi: 10.1177/019459989411000216. [PubMed: 8108161].
16. Gow L, Gulati R, Khan A, Mihaimeed F. Adult-onset cystic hygroma: A case report and review of management. Grand Rounds. 2010;10:5-11. doi: 10.1102/1470-5206.2011.0002.
17. Kertesz Z, Bala G, Bancu S, Gozar H, Virgil G, Horvath E, et al. Bleomycin therapy for lymphangioma. Chirurgia (Bucur). 2011;106(1):103-7. [PubMed: 21523964].
18. Mahajan JK, Bharathi V, Chowdhary SK, Samujh R, Menon P, Rao KL. Bleomycin as intralesional sclerosant for cystic hygromas. J Indian Assoc Pediatr Surg. 2004;9(1):3-7.
Brown's otolaryngology. London, UK: Butterworth-Heinemann; 1987. p. 267.
2. Guarisco JL. Congenital head and neck masses in infants and children. Part II. Ear Nose Throat J. 1991;70(2):75-82. [PubMed: 2044478].
3. Baer S, Davis J. Cystic hygroma presenting in adulthood. J Laryngol Otol. 1989;103(10):976-7. doi: 10.1017/s0022215100110679. [PubMed: 2685151].
4. Kim HS, Kim EA, Chung SM, Shin YR. Cystic lymphangioma: Trauma may be a significant cause? Int J Pediatr
Otorhinolaryngol. 2007;71(12):1921-3. doi: 10.1016/j.ijporl.2007.08.018. PubMed: 17913248].
5. Aneeshkumar MK, Kale S, Kabbani M, David VC. Cystic lymphangioma in adults: Can trauma be the trigger? Eur Arch Otorhinolaryngol. 2005;262(4):335-7. doi: 10.1007/s00405-004-0780-6. [PubMed: 15841412].
6. Bill AH Jr., Sumner DS. A unified concept of lymphangioma and cystic hygroma. Surg Gynecol Obstet. 1965;120:79-86. [PubMed:
14259790].
7. Tran NN, Tran XN. Cystic hygroma in children: A report of 126
cases. J Pediatr Surg. 1974;9(2):191-5. doi: 10.1016/s0022-
3468(74)80120-x. [PubMed: 4825790].
8. Waner M, Suen JY. Treatment options for the management of vascular malformations. In: Waner M, Suen JY, Editors. Hemangiomas and vascular malformations of the head and neck. Hoboken, NJ: Wiley; 1999. p. 315-50.
9. Umezawa H. Recent study on biochemistry and action of Bleomycin. In: Carter SK, Crook ST, Umezawa H, Editors. Bleomycin: Current status and new developments. New York, NY: Academic Press; 1978. p. 15-20.
10. Yura J, Hashimoto T, Tsuruga N, Shibata K. Bleomycin treatment for cystic hygroma in children. Nihon Geka Hokan. 1977;46(5):607-14. [PubMed: 73364].
11. Baskin D, Tander B, Bankaoglu M. Local bleomycin injection in the treatment of lymphangioma. Eur J Pediatr Surg. 2005;15(6):383-6. doi: 10.1055/s-2005-872922. [PubMed: 16418953].
12. Niramis R, Watanatittan S, Rattanasuwan T. Treatment of cystic hygroma by intralesional bleomycin injection: Experience in 70 patients. Eur J Pediatr Surg. 2010;20(3):178-82. doi: 10.1055/s-0030-1247548. [PubMed: 20178075].
13. Hancock BJ, St-Vil D, Luks FI, Di LM, Blanchard H. Complications of lymphangiomas in children. J Pediatr Surg. 1992;27(2):220-4. doi: 10.1016/0022-3468(92)90316-y. [PubMed: 1564622].
14. Suk S, Sheridan M, Saenger JS. Adult lymphangioma: A case
report. Ear Nose Throat J. 1997;76(12):881-3. [PubMed: 9431778].
15. Wiggs WJ Jr, Sismanis A. Cystic hygroma in the adult: Two case reports. Otolaryngol Head Neck Surg. 1994;110(2):239-41. doi: 10.1177/019459989411000216. [PubMed: 8108161].
16. Gow L, Gulati R, Khan A, Mihaimeed F. Adult-onset cystic hygroma: A case report and review of management. Grand Rounds. 2010;10:5-11. doi: 10.1102/1470-5206.2011.0002.
17. Kertesz Z, Bala G, Bancu S, Gozar H, Virgil G, Horvath E, et al. Bleomycin therapy for lymphangioma. Chirurgia (Bucur). 2011;106(1):103-7. [PubMed: 21523964].
18. Mahajan JK, Bharathi V, Chowdhary SK, Samujh R, Menon P, Rao KL. Bleomycin as intralesional sclerosant for cystic hygromas. J Indian Assoc Pediatr Surg. 2004;9(1):3-7.
| Files | ||
| Issue | Vol 5, No 4 (2019) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v5i4.4381 | |
| Keywords | ||
| Lymphangioma Cystic Surgery | ||
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How to Cite
1.
Hedayat E, Nabian MH. Huge Post-Traumatic Cystic Hygroma, Combination of Surgical and Non-Surgical Treatment Methods: A Case Report. J Orthop Spine Trauma. 2020;5(4):107-9.
