Giant cervical lymphangioma in a pediatric patient: a case report Linfangioma cervical gigante en paciente pediátrico: un reporte de caso

Abstract

Lymphangiomas are rare benign congenital malformations of the lymphatic system. They vary in size and can cause compressive symptoms, potentially putting the patient’s life at risk. Surgery is considered the most effective therapeutic option. We present the case of a one-year-old patient from Pucallpa, Peru, admitted to Hospital Amazónico with a deforming right cervical mass consistent with cystic
lymphangioma and signs of local necrosis. The patient exhibited symptoms of dysphagia, spontaneous crying, pain, hyporexia, cough, and fever. Open surgery was performed, achieving complete excision of the mass while preserving the adjacent nervous and vascular structures. Pathological analysis confirmed the diagnosis of lymphangioma. The patient evolved favorably, being discharged 8 days post-surgery. No complications were observed during the one-year follow-up period. In this case, pathological examination of the mass established the diagnosis of lymphangioma, and open surgery allowed for complete tumor removal without major complications. It is hoped that the clinical experience presented will aid in the effective management of pediatric lymphangioma cases with similar presentations.