Title: Hemolymphangioma of Neck– A Diagnostic Dilemma
Authors: Dr N N Dutta, Dr D K Das, Dr J Talukdar, Dr Praneeth kumar Koduru
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.56
Abstract
Lymphangiomas are rare congenital or acquired lesions that occur mostly in the head and neck region. Some part of lymphatic system gets sequestered during embryonic development and mostly gets resorbed but in some cases, they dilate and form sac like structures. These are of 3 types mostly – capillary, cavernous and cystic hygroma. There exists a 4th variant also called hemolymphangioma where the sac like dilatations will be filled with blood which may be due to infection or trauma. Also a sudden increase in their size may occur due to infection or trauma. Here, we present the rare variety of lymphangioma i.e., hemolymphangioma in a 7 year old girl where a diagnostic dilemma existed during clinical evaluation.
Keywords: Lymphangioma, lymphatic system
References
- Fonkalsrud EW. Lymphatic disorders. In: Grosfeld JL, O’Neill JA Jr, Coran JA, Fonkalsrud EW, Coran AG, editors. Pediatric Surgery. 6th ed. Chicago: Mosby Elsevier; 2006. pp. 2137–45.
- Brock ME, Smith RJ, Parey SE, Mobley DL. An otolaryngologic perspective. Int J PediatrOtorhinolaryngol. 1987;14:133–40.
- S Sundarapandian, Hafida K Mohamed, S Murugesan, Aberna V. Haemolymp-hangioma of epiglottis. Journal of Clinical and Diagnostic Research. 2013 Aug, Vol-7(8): 1753-1754
- Rui-Cheng Ji. Lymphatic Endothelial cells, Lymphangiogenesis and Extracellular matrix. Lymphatic Research and Biology 2006 4:2, 83-100
- Filston HC. Hemangiomas: cystic hygromas and teratomas of the head and neck. SeminPediatr Surg. 1994;3:147–159
- Landing BH, Farber S. Tumors of the Cardiovascular System. Atlas of Tumor Pathology. Armed Forces Institute of Pathology; Washington DC: 1956.; pp. 124–138
- Antonino A, Gragnano E, Sangiuliano N. A very rare case of duodenal hemolymphangioma presenting with iron deficiency anemia. Int J Surg Case Rep. 2014;5:118–121.
- Kosmidis I, Vlachou M, Koutroufinis A, Filiopoulos K. Hemolymphangioma of the lower extremities in children: two case reports. J OrthopSurg Res. 2010;5:56.
- Ogita S, Tsuto T, Nakamura K, Deguchi E, Tokiwa K, Iwai N. OK-432 therapy for lymphangioma in children: why and how does it work? J Pediatr Surg. 1996 Apr;31(4):477-80.