1/13. Efficacy and safety of OK-432 sclerotherapy for giant cystic hygroma in a newborn.BACKGROUND: OK-432, a lyophilised incubation mixture of group A streptococcus pyogenes of human origin, was used as a sclerosant for the involution of a giant cervical cystic hygroma in a newborn. RESULTS: There were no systemic side effects. blood tests and double immune diffusion tests showed no systemic infection or generalised inflammatory response, or antibody production. Cellular and cytokine-induced localised inflammatory reaction within the cystic hygroma, was observed on analysis of the intracystic fluid. CONCLUSIONS: The leucocytosis induced and activated by OK-432 probably increases the endothelial permeability of the lymphatics. This probably accelerated lymph drainage leading to involution of the cystic hygroma. Intralesional injection of OK-432 was safe and effective therapy for cystic hygroma in this newborn as its inflammatory reaction was localised.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/13. Giant cystic lymphangioma of the small bowel mesentery: report of a case.We herein describe the case of a 48-year-old man who presented to our hospital with abdominal distension and pain. Preoperative studies including abdominal ultrasonography and computed tomography failed to determine the cause of the pain. At laparotomy, a giant cystic tumor of the small bowel mesentery was found. Histologically, the tumor was diagnosed as a cystic lymphangioma. Although mesenteric lymphangiomas are rare, especially in adults, they should be considered as a possible cause of acute abdomen.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
3/13. A giant cystic hygroma on the leg of a newborn infant complicated by hyponatremia.Cystic hygromas are large cystic masses resulting from failure of lymph drainage. The vast majority occur in the neck or axilla. Cases of cystic hygroma of the extremity are extremely rare. We present a newborn infant with a giant cystic hygroma on her left leg, complicated by severe hyponatremia.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/13. prenatal diagnosis of a giant foetal lymphangioma and haemangiolymphoma in the second trimester using 2D and 3D ultrasound.Lymphangiomas are benign tumours of the lymphatic system. Early prenatal diagnosis is important to permit a planned delivery and provide adequate postnatal care. It thereby improves prognosis and allows the option of terminating the pregnancy if poor outcome is predicted. We report two cases, a giant haemangiolymphoma and a lymphangioma. 2D and 3D US findings are presented and differential diagnosis, therapeutic options and prognosis are discussed.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/13. Giant cystic lymphangioma cavernousum of lower limb with overlying lymphangioma circumscriptum.Lymphangiomas arising outside of the cervicofacial, thoracic, and abdominal areas are extremely rare. We describe a child with a giant cystic lymphangioma cavernousum occurring in the lower leg with overlying lymphangioma circumscriptum, along with its magnetic resonance imaging findings.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
6/13. The role of the surgeon in the case of a giant neck mass in the EXIT procedure.Large fetal neck masses can present a major challenge to securing an airway at birth, with associated risks of hypoxia, brain injury, and death. The authors report a case of a giant neck mass, diagnosed in a fetus of 28 weeks, treated through ex utero intrapartum treatment procedure to assist in securing an airway followed by excision of the mass on the day after delivery. A multidisciplinary team approach, combined with an accurate prenatal diagnosis obtained through fetal ultrasound magnetic resonance imaging examination, was the key to a successful outcome. The role of the pediatric surgeon was initially to secure the airways through a tracheostomy followed by excision of the mass when the infant's vital parameters had been stabilized.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
7/13. Recurrent retroperitoneal cystic lymphangioma.Retroperitoneal cystic lymphangioma is a rare congenital malformation. The majority of lymphangiomas are present at birth and nearly all present before the age of two years. We report a case of giant cystic retroperitoneal lymphangioma in a patient who first presented with symptoms at the age of 7, underwent surgery, and who then suffered a recurrent mass 11 years later.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
8/13. Cystic hygroma.Cystic hygroma (CH) is a benign, developmental condition of unknown etiology. 90% of the cases are present by age 2. CH represents malformed lymphatics that fail to communicate with larger veins and, therefore, they collect lymph. It is a type of lymphangioma. The clinical presentation is one of a painless, soft mass that reaches a giant size and can lead to the death of the infant. The diagnosis is done with CT scan and biopsy. We report a severe case of CH and describe the difficult surgical treatment, despite the benign nature of the lesion.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
9/13. Case report: giant tuberculous cystic lymphangioma of posterior mediastinum, retroperitoneum and groin.Cystic lymphangioma is a very rare condition of unknown aetiology. It is generally regarded as a developmental malformation in which obstruction or agenesis of lymphatic tissue results in lymphangiectasia secondary to lack of normal communication of the lymphatic system. Most lymphangiomas occur in the neck (75%) and axillary region (20%). Lymphangiomas may rarely occur in the retroperitoneum, mediastinum, mesentery, omentum, colon, pelvis, groin, spleen, bone and skin. We present a case of multicompartmental tuberculous lymphangioma extending continuously from the superior posterior mediastinum through the retroperitoneum to the right groin, which responded to needle aspiration and antituberculosis drug therapy.- - - - - - - - - - ranking = 0.8keywords = giant (Clic here for more details about this article) |
10/13. Cystic lymphangioma of the gall-bladder: a case report.Intra-abdominal cystic lymphangiomas are rare lesions that can be difficult to diagnose. We present a report of a patient with a giant multilocular cystic lesion in the abdomen. ultrasonography and computed tomography scans of the abdomen revealed that the cyst had originated in the gall-bladder fossa. There was some calcification and thickening of the cyst wall. Endoscopic retrograde cholangiopancreatography demonstrated a medially deviated common bile duct, an elongated cystic duct and an inferior compressed gallbladder. There was no apparent communication between the cyst and the biliary tract; however, an abdominal angiogram revealed that the lesion was supplied by a branch of the cystic artery. Histological findings obtained intra-operatively were consistent with a cystic lymphangioma. Its characteristic histology was observed in the subserous layer of the gall-bladder. This case is a rare instance of a cystic lymphangioma originating in the gall-bladder.- - - - - - - - - - ranking = 0.2keywords = giant (Clic here for more details about this article) |
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