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One-stage excision of massive cervicomediastinal lymphangioma in the newborn
Denis A Cozzi1, Augusto Zani, Giuseppe d'Ambrosio
1Pediatric Surgery Unit, Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy. da.cozzi@uniroma1.it
Abstract:
We report the first neonate successfully treated with one-stage complete excision of massive cervicomediastinal lymphangioma producing alarming respiratory distress. Early postoperative course was complicated by refractory bilateral chylothorax, which effectively responded to insertion of external pleuroperitoneal shunts. At the 6-year follow-up, the child remains symptom free and recurrence free. One-stage resection for cervicomediastinal lymphangioma is curative and well tolerated even shortly after birth.