[Giant cystic hygroma: a case report]

Area of Science:

• Pediatric Surgery
• Congenital Malformations
• Lymphatic System Disorders

Background:

• Cystic hygromas are congenital lymphatic system malformations.
• Typically present as fluid-filled cavities in the neck and axilla.
• Giant cystic hygromas are rare and can be extensive.

Purpose of the Study:

• To report a rare case of a giant cystic hygroma.
• To highlight the diagnostic and management approach in a neonate.
• To emphasize the importance of timely intervention for respiratory compromise.

Main Methods:

• Antenatal ultrasound for initial diagnosis.
• Clinical examination and measurement of the mass at birth.
• Emergency surgical resection of the giant cystic hygroma.
• Post-operative histopathological confirmation.

Main Results:

• A rare giant cystic hygroma (25cm x 26cm) was identified antenatally and confirmed at birth.
• The mass extensively involved the neck, chest, axilla, and upper limbs/trunk.
• Emergency resection was performed due to respiratory compromise, with successful outcome.
• Pathology confirmed the diagnosis of cystic hygroma.

Conclusions:

• Giant cystic hygromas are rare congenital lymphatic malformations requiring prompt diagnosis.
• Surgical intervention is crucial for cases causing respiratory distress in neonates.
• Early detection and management lead to favorable outcomes in these rare conditions.