Dirk Schaper (Halle/S.)  

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4,5 Years  

Female  

Thorax-Muscular system / Connective tissue / Skin  

congenital  

4 and a half year-old girl with acute swelling in the right thoracic area laterally. No pain, no previous maladies, no pain on pressure, no redness and no localized hyperthermia. Slight blue glimmering, taut elastic resistance. Lab values contained no pathological findings.  

N/A  

<- view Pathology 1

Pathology 1: Swelling in the right thoracic region laterally.





<- view Ultrasound 1

Ultrasound 1: Overview, tumor is 24 x 10 mm, partly echogenic contents, fluid-sediment level can be seen.




<- view Ultrasound 2

Ultrasound 2: In the horizontal plane of the lying patient. Obvious fluid-sediment level.




<- view Ultrasound 3

Ultrasound 3: In the frontal plane of the sitting patient. Obvious change of the fluid-sediment level according to the sitting position.




<- view OP-Situs 1

OP-Situs 1: Surgical specimen is cut open.


 

Surgery / Histo  

N/A  

After sonographical depiction of the fluidic contents with the change of the fluid-sediment level which depended on the position of the patient, surgery and the complete removal of the structure was made. Intraoperatively, the suspicion of an acute hemorrhage in a previously occuring, small lymphangioma was proven. Intraoperatively, there was old blood, in the area of the large cyst there were smaller ones with watery contents.  

N/A  

N/A  

1. Medline:
Tseng JJ, Chou MM, Ho ES.
Fetal axillary hemangiolymphangioma with secondary intralesional bleeding: serial ultrasound findings.
Ultrasound Obstet Gynecol 2002 Apr;19(4):403-6

2. Medline:
Borecky N, Gudinchet F, Laurini R, Duvoisin B, Hohlfeld J, Schnyder P.
Imaging of cervico-thoracic lymphangiomas in children.
Pediatr Radiol 1995;25(2):127-30  

Lymphangioma, hemorrhage, thoracic lymphangioma, acute hemorrhage, thorax, swelling, thoracic bleeding, child, childhood, pediatric radiology  

Dirk Schaper. Thoracic lymphangioma with acute hemorrhage. PedRad [serial online] vol 3, no. 5.
URL: www.PedRad.info/?search=20030511113337