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    Go to the top of the page   ID: 20100217140928 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Retropharyngeal cystic hygroma
    Angela Gregory, Rupan Banga. Retropharyngeal cystic hygroma. PedRad [serial online] vol 10, no. 2.
    URL: www.PedRad.info/?search=20100217140928


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are CT-images available for this case. [ CT ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Angela Gregory (Birmingham Childrens Hospital/Birmingham/ UK), Rupan Banga (Birmingham Childrens Hospital/Birmingham/ UK)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    6 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Neck-Lymphatic tissue  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    A 6 year old girl presented to casualty with a 4 day history of sore throat and dysphagia. Examination was unremarkable and initial management for tonsillitis was commenced. Within 24 hours, she dramatically worsened and was admitted to paediatric ICU with respiratory distress and progressive neck swelling.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Cystic hygromas usually affects the head and neck (75%), and the axilla (20%). More infrequent sites have been reported to include the mediastinum, groin, and retroperitoneum.

    Cystic Hygromas are thought to arise due to a congential blockage or arrest of the normal development of the primordial lymphatic channels. They have a multiloculated cystic appearance [1].  

     
     Pediatric Radiology CasesRadiological findings:


    Imaging confirmed a very large multiloculated retropharyngeal cystic mass measuring 13.5cm in length, 3.7cm AP and 7cm width. The lesion extended from the clivus to the aortic arch, displacing the trachea anteriorly.


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Lateral neck X ray showing a massive retropharyngeal mass pushing the trachea anteriorly.




    CT 1 <- view CT 1

    CT 1: Sagittal CT image of the retropharyngeal swelling demonstrating the loculated nature of the cyst.




    CT 2 <- view CT 2

    CT 2: Coronal CT demonstrating a retropharyngeal cystic lesion.




    CT 3 <- view CT 3

    CT 3: Axial CT demonstrating a retropharyngeal cystic lesion.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Oesphageal duplication cyst, Retropharyngeal cystic hygroma, Retropharyngeal abscess
     

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Most cystic hygromas are evident at birth, with about 90% presenting by age 2 years. However, they may become evident with rapid enlargement especially with infection at any age. Complete surgical excision is the recommended treatment of choice. Other treatment options include  

     
     Pediatric Radiology CasesComments of the author about the case:

    Cystic hygroma belongs to a group of diseases now recognized as lymphatic malformations. Although most hygromas (75%) involve the anterior neck, they can also affect other sites, including the axillae, mediastinum, retroperitoneum, abdominal viscera, groin, bones, and scrotum. We report an unusual case of a patient presenting with a cystic hygroma involving the retropharyngeal space.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    1. Chervenak FA, Isaacson G, Blakemore KJ, Breg WR,Hobbins JC, Berkowitz RL, Tortora M, Mayden K,Mahoney MJ. Fetal cystic hygroma. Cause and natural
    history. N Engl J Med 1983;309:822-5.

    2. Kennedy TL, Whitaker M, Pellitteri P, Wood WE. Cystic hygroma/lymphangioma: a rational approach to management. Laryngoscope. 2001 Nov;111(11 Pt 1):1929-37.  

     
     Pediatric Radiology CasesKeywords:

    cystic hygroma, respiratory distress, retropharyngeal, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Angela Gregory, Rupan Banga. Retropharyngeal cystic hygroma. PedRad [serial online] vol 10, no. 2.
    URL: www.PedRad.info/?search=20100217140928  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Neck-Lymphatic tissue
    or in the region: Neck
    or in the tissue/organ: Lymphatic tissue
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are CT-images available for this case. [ CT ] View all modalities [ All ]   
     
    Retropharyngeal cystic hygroma
    Angela Gregory, Rupan Banga. Retropharyngeal cystic hygroma. PedRad [serial online] vol 10, no. 2.
    URL: www.PedRad.info/?search=20100217140928


     

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    Retropharyngeal cystic hygroma
    Other cases by these authors:

    Search Angela Gregory in Medline Angela Gregory (1)   
    Search Rupan Banga in Medline Rupan Banga (1)   

    Retropharyngeal cystic hygroma  
     
    Retropharyngeal cystic hygroma
    Angela Gregory, Rupan Banga. Retropharyngeal cystic hygroma. PedRad [serial online] vol 10, no. 2.
    URL: www.PedRad.info/?search=20100217140928


     

    Which diagnosis have other collegues guessed?


    • Hemangioma
      Votes: 0 (0 %)


    • Cystic hygroma
      Votes: 18 (33 %)


    • Retropharyngeal abscess
      Votes: 21 (39 %)


    • Lymphoma
      Votes: 0 (0 %)


    • Oesphageal duplication cyst
      Votes: 14 (26 %)



        Total answers: 53

     
    Retropharyngeal cystic hygroma
    Angela Gregory, Rupan Banga. Retropharyngeal cystic hygroma. PedRad [serial online] vol 10, no. 2.
    URL: www.PedRad.info/?search=20100217140928


     

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    Retropharyngeal cystic hygroma
    Angela Gregory, Rupan Banga. Retropharyngeal cystic hygroma. PedRad [serial online] vol 10, no. 2.
    URL: www.PedRad.info/?search=20100217140928


     




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