Spontaneous resolution of a recurrent axillary cystic hygroma following acute infection

Abstract

We report a case of spontaneous resolution of a recurrent axillary cystic hygroma in a 4-year-old boy. He presented with a 1-year history of a cystic lump in the left axilla, which intermittently changed in size. Ultrasound suggested it was a lipoma, with raised suspicions of vascular malformation. Scans were discussed in a multidisciplinary meeting and provisional diagnosis of lymphocele or slow flow lymphovascular malformation was made. It was surgically excised and histology confirmed the lesion to be a cystic hygroma. However, it recurred within 3 weeks. The patient was booked for aspiration and treatment with sclerotic agent OK 432. He developed acute infection in the cystic hygroma a week before surgical intervention and was treated with antibiotics for 5 days by his general practitioner. Acute infection led to complete spontaneous resolution of the cystic hygroma within a week. There are no other reported cases in which recurrent cystic hygroma has resolved after a week of acute infection.

Outcome and clinical efficacy of bleomycin and doxycycline percutaneous sclerotherapy for treatment of paediatric lymphatic malformations in a limited resource setting

“…This was like earlier studies where the author stated that both genders were equally affected. 11,12 In this study, the most frequent site of LMs was neck (78%) followed by another site like cheek, chest, shoulder, and suprapubic region. Various other studies also reported neck as the most frequent site for LMs in different proportion (40-60%).…”

A Case of Lymphangiomatosis With Infected Lymphangiomas Effectively Treated by Thoracoscopic Debridement and Drainage

“…Drainage and antibiotics were recommended in several reports. 4 However, effective tube drainage was prevented by the highly viscous contents and septa in the cyst. Hence, these components had to be removed effectively and noninvasively.…”