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Adult-onset giant cervical cystic hygroma with pressure manifestations on aerodigestive tract, managed surgically: reporting of a rare case.
Ann R Coll Surg Engl. 2019 Mar; 101(3):e84-e87.AR

Abstract

Cystic hygroma is a benign congenital malformation of the lymphatic system that occurs in children younger than two years of age. Hygroma commonly presents in head and neck but can be present anywhere. It is rarely seen in adults. We report the case of a 28-year-old woman who presented with a huge painless right-sided cystic neck swelling of 11 months duration, associated with progressive dysphagia and difficulty in breathing when lying supine or on her left side. Clinically, the swelling occupied both right anterior and posterior triangles of her neck with impalpable right carotid pulsations. Computed tomography revealed a cystic mass lesion. The mass was excised totally through right supraclavicular incision, after identification of the great auricular, spinal accessory and phrenic nerves. Paraffin section confirmed the diagnosis of cystic hygroma. After an uneventful postoperative period the patient was discharged and has had no recurrence to date.

Authors+Show Affiliations

Department of General Surgery, King Fahd Central Hospital , Jazan , Saudi Arabia.Department of General Surgery, King Fahd Central Hospital , Jazan , Saudi Arabia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30602293

Citation

Elshaar, Khaled, and Laila AbuAleid. "Adult-onset Giant Cervical Cystic Hygroma With Pressure Manifestations On Aerodigestive Tract, Managed Surgically: Reporting of a Rare Case." Annals of the Royal College of Surgeons of England, vol. 101, no. 3, 2019, pp. e84-e87.
Elshaar K, AbuAleid L. Adult-onset giant cervical cystic hygroma with pressure manifestations on aerodigestive tract, managed surgically: reporting of a rare case. Ann R Coll Surg Engl. 2019;101(3):e84-e87.
Elshaar, K., & AbuAleid, L. (2019). Adult-onset giant cervical cystic hygroma with pressure manifestations on aerodigestive tract, managed surgically: reporting of a rare case. Annals of the Royal College of Surgeons of England, 101(3), e84-e87. https://doi.org/10.1308/rcsann.2018.0214
Elshaar K, AbuAleid L. Adult-onset Giant Cervical Cystic Hygroma With Pressure Manifestations On Aerodigestive Tract, Managed Surgically: Reporting of a Rare Case. Ann R Coll Surg Engl. 2019;101(3):e84-e87. PubMed PMID: 30602293.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adult-onset giant cervical cystic hygroma with pressure manifestations on aerodigestive tract, managed surgically: reporting of a rare case. AU - Elshaar,Khaled, AU - AbuAleid,Laila, Y1 - 2019/01/03/ PY - 2020/03/01/pmc-release PY - 2019/1/4/pubmed PY - 2019/3/20/medline PY - 2019/1/4/entrez KW - Adult KW - Giant cystic hygroma KW - Lymphangioma KW - Neck SP - e84 EP - e87 JF - Annals of the Royal College of Surgeons of England JO - Ann R Coll Surg Engl VL - 101 IS - 3 N2 - Cystic hygroma is a benign congenital malformation of the lymphatic system that occurs in children younger than two years of age. Hygroma commonly presents in head and neck but can be present anywhere. It is rarely seen in adults. We report the case of a 28-year-old woman who presented with a huge painless right-sided cystic neck swelling of 11 months duration, associated with progressive dysphagia and difficulty in breathing when lying supine or on her left side. Clinically, the swelling occupied both right anterior and posterior triangles of her neck with impalpable right carotid pulsations. Computed tomography revealed a cystic mass lesion. The mass was excised totally through right supraclavicular incision, after identification of the great auricular, spinal accessory and phrenic nerves. Paraffin section confirmed the diagnosis of cystic hygroma. After an uneventful postoperative period the patient was discharged and has had no recurrence to date. SN - 1478-7083 UR - https://www.unboundmedicine.com/medline/citation/30602293/Adult_onset_giant_cervical_cystic_hygroma_with_pressure_manifestations_on_aerodigestive_tract_managed_surgically:_reporting_of_a_rare_case_ L2 - http://publishing.rcseng.ac.uk/doi/full/10.1308/rcsann.2018.0214?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -