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[Mediastinal cystic component as cause of deviating growth in a ten-month-old boy]
Fanny Edit Maria Hård1, Cristel Maria Sørensen Hjortshøj, Hilde Hylland Uhlving
1fanny.haard@gmail.com.
Insights
A rare mediastinal lymphatic malformation caused a ten-month-old boy's growth deviation and infections. Early investigation is crucial for children with such symptoms, rather than just treating them.
Area of Science:
- Pediatric Surgery
- Thoracic Oncology
- Diagnostic Imaging
Background:
- Intrathoracic tumors are rare in children.
- Lymphatic malformations can present with non-specific symptoms.
- Deviating growth and recurrent respiratory infections warrant thorough investigation.
Observation:
- A ten-month-old boy presented with growth deviation and recurrent respiratory tract infections.
- Thoracic computed tomography revealed two large cystic components in the mediastinum.
- Surgical excision of the mediastinal cysts was performed.
Findings:
- Pathological examination confirmed the diagnosis of lymphatic malformation.
- This highlights lymphatic malformations as a cause of intrathoracic masses in children.
- The condition presented with significant clinical manifestations.
Implications:
- Early diagnosis and surgical intervention are key for pediatric patients with intrathoracic lymphatic malformations.
- This case underscores the importance of investigating underlying causes for pediatric growth and respiratory issues.
- Prompt diagnostic workup is recommended over symptomatic management for early-onset conditions.
Abstract:
We present a case report of a ten-month-old boy, who was referred due to deviating growth and recurrent respiratory tract infections. Computed tomography of the thorax showed two large, cystic components in the mediastinum. He underwent surgical removal of the cysts. Pathological examination confirmed the diagnosis lymphatic malformation. This case illustrates that intrathoracic tumors such as lymphatic malformations, although rare, should be considered in children with deviating growth curves and respiratory problems. Rather than continuous symptomatic treatment children with symptoms early in life should be prompted in further investigations.
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