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The Journal of Thoracic and Cardiovascular Surgery, Vol 89, 459-462, Copyright © 1985 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association


ARTICLES

Massive symptomatic cystic hygroma confined to the thorax in early childhood

TC Moore and JC Cobo

A case of massive symptomatic cystic hygroma confined to the left hemithorax and mediastinum in a 21-month-old boy is reported. The symptoms were of increasing respiratory distress and cough with fever. The mass surrounded all of the major vascular and nervous structures of the mediastinum and left hemithorax and was attached to the pericardium. It was excised, and the postoperative course was complicated by prolonged chylothorax and malfunction of the left hemidiaphragm. Seven other reported symptomatic cases of cystic hygroma confined to the thorax in early childhood are reviewed. The hygromas tend to be large and their care typically is complex and complicated. Hemorrhage into the cysts is a frequent finding and likely contributes to the acute and progressive symptoms.


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V. Gimino, C. Manivel, A. Leonard, and M. Steiner
A Rare Cause of Respiratory Distress in an Eleven-Month-Old
Clinical Pediatrics, March 1, 2002; 41(2): 121 - 123.
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